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Individual

DR. NICHOLAS ANTHONY GRIMALDI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
114 GATEWAY CORPORATE BLVD STE 240, COLUMBIA, SC 29203-9785
(803) 365-8660
Mailing address
509 OLD COMPASS RD, DANIEL ISLAND, SC 29492-8604
(717) 586-9936

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
D01840
TN
207X00000X
Orthopaedic Surgery Physician
Primary
DO1840
TN
207X00000X
Orthopaedic Surgery Physician
DO87813
SC
207XS0117X
Orthopaedic Surgery of the Spine Physician
DO 1840
TN
207XS0117X
Orthopaedic Surgery of the Spine Physician
DO87813
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1729701
CIGNA HEALTHCARE
TN
01
4299333
BCBS OF TENNESSEE
TN
Enumeration date
07/24/2006
Last updated
04/29/2025
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