Individual
MS. MEREDITH ELLIS GRIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
701 SOUTH 19TH STREET, BIRMINGHAM, AL 35294-0001
(205) 441-4496
Mailing address
701 SOUTH 19TH STREET, BIRMINGHAM, AL 35294-0001
(205) 441-4496
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-526
AL
363A00000X
Physician Assistant
PA04783
TX
Other
Enumeration date
07/18/2006
Last updated
01/25/2008
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