Individual
JOHN A GRIMES III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8800 N TRYON ST, CHARLOTTE, NC 28262-3300
(704) 548-5663
(704) 548-6997
Mailing address
PO BOX 36351, CHARLOTTE, NC 28236-6351
(704) 377-5772
(704) 377-3389
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
200000809
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891260J
—
NC
05
—
N00807
—
SC
Enumeration date
10/10/2005
Last updated
07/08/2007
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