Individual
MISS VIVIAN GRIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PROTHETIST
Contact information
Practice address
304 BRIDGEFIELD CT, MADISON, AL 35758-6849
(256) 348-9106
(256) 722-0507
Mailing address
304 BRIDGEFIELD CT, MADISON, AL 35758-6849
(256) 348-9106
(256) 722-0507
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
194418
AL
Other
Enumeration date
04/01/2013
Last updated
04/01/2013
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