Individual
MR. JAMES M. GRIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
8 RICHLAND MEDICAL PARK DR STE 400, COLUMBIA, SC 29203-8004
(803) 765-0871
(803) 765-9215
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
1168
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0539PA
—
SC
Enumeration date
03/09/2007
Last updated
04/25/2019
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