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Individual

DR. SHANNON NICOLE GRIMES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
100 E LANCASTER AVE, SUITE 301 MEDICAL OFFICE BLDG SOUTH, WYNNEWOOD, PA 19096-3450
(215) 896-3620
Mailing address
100 E LANCASTER AVE, MOB SOUTH, SUITE 216, WYNNEWOOD, PA 19096-3450
(610) 658-5266
(610) 658-0963

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD467199
PA

Other

Enumeration date
06/04/2015
Last updated
05/09/2019
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