Individual
CARLIE ALEXANDRA GRIGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9130 R G SKINNER PARKWAY, JACKSONVILLE, FL 32256
(904) 538-0950
(904) 538-0952
Mailing address
9130 R G SKINNER PARKWAY, JACKSONVILLE, FL 32256
(904) 538-0950
(904) 538-0952
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA185615
OR
363A00000X
Physician Assistant
Primary
PA9113179
FL
Other
Enumeration date
11/28/2017
Last updated
10/02/2023
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