Individual
DAVID MANSON GRISHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
8375 HIGHWAY 72 W, MADISON, AL 35758-9573
(256) 265-2012
Mailing address
8375 HIGHWAY 72 W, MADISON, AL 35758-9573
(256) 265-2012
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-097187
AL
Other
Enumeration date
01/07/2015
Last updated
07/11/2023
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