Individual
ASAHEL L GRIDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
125 BAPTIST WAY STE 2C, PENSACOLA, FL 32503-2274
(850) 444-4777
Mailing address
4012 N 9TH AVE, PENSACOLA, FL 32503-2824
(850) 444-4777
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
24075
MS
208600000X
Surgery Physician
Primary
MD.203729
LA
208600000X
Surgery Physician
Primary
ME168813
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03839737
—
MS
05
—
1106089
—
LA
Enumeration date
06/12/2008
Last updated
06/29/2026
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