Individual
MR. EDWARD KENNETH GRISHAW
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
288 S RIDGECREST AVE, RUTHERFORDTON, NC 28139
(828) 286-5335
(828) 286-5231
Mailing address
PO BOX 886, 131 W 2ND ST, RUTHERFORDTON, NC 28139-0886
(828) 287-2984
(828) 287-3582
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
9401204
NC
2085R0202X
Diagnostic Radiology Physician
J4171
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8937461
—
NC
Enumeration date
01/17/2006
Last updated
07/08/2007
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