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Individual

MS. AMY CLAIRE GRISHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, RD, LD

Contact information

Practice address
2807 GREYSTONE COMMERCIAL BLVD STE 36, BIRMINGHAM, AL 35242-9601
(205) 552-0417
Mailing address
801 MONTCLAIR RD APT 4416, BIRMINGHAM, AL 35213-2035
(918) 914-3300

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2446
AL

Other

Enumeration date
10/28/2015
Last updated
10/28/2015
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