Individual
GRIGORIY GRIGORYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
607 BEAMAN ST, CLINTON, NC 28328-2603
(240) 566-1603
(770) 701-6718
Mailing address
PO BOX 890235, CHARLOTTE, NC 28289-0235
(844) 246-1591
(770) 701-6718
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
260470
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
5966
NC
Other
Enumeration date
09/13/2018
Last updated
02/06/2025
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