Organization
IREDELL PHYSICIAN NETWORK, LLC
Active
Other names
Ruby Grimm, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN HELES (CREDENTIALING)
(866) 340-0396
Entity
Organization
Contact information
Practice address
738 BRYANT ST, STATESVILLE, NC 28677-4189
(704) 873-2219
(704) 873-1379
Mailing address
PO BOX 896199, CHARLOTTE, NC 28289-6199
(833) 936-1364
(605) 942-7505
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Enumeration date
10/05/2012
Last updated
04/05/2021
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