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Individual

PAMELA E. GRIGG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
6780 MAYFIELD RD, MAYFIELD HTS, OH 44124-2203
(216) 449-4500
Mailing address
8750 EAGLES NEST LN, WILLOUGHBY, OH 44094-9750

Taxonomy

Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
34005050
OH
207P00000X
Emergency Medicine Physician
Primary
34-005050
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0818328
OH
01
94246063647
CARESOURCE
OH
01
P00320004
MEDICARE TRAVELERS RR-GA
OH
Enumeration date
06/01/2006
Last updated
09/13/2022
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