Individual
DR. JAMES MCCALL GRIMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 J. CLYDE MORRIS BLVD, RIVERSIDE REGIONAL MEDICAL CENTER, NEWPORT NEWS, VA 23601-1929
(757) 594-4405
(757) 867-6587
Mailing address
P O BOX 12087, NEWPORT NEWS, VA 23612-2087
(757) 867-6102
(757) 867-6587
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101239501
VA
2085R0202X
Diagnostic Radiology Physician
142428
NC
2085R0202X
Diagnostic Radiology Physician
AFE73354
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00980543
RAILROAD MEDICARE
VA
Enumeration date
01/18/2006
Last updated
01/09/2012
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