Individual
DR. JULIANNE MARIE GRISSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2630 PETERS CREEK PKWY, WINSTON SALEM, NC 27127-5655
(336) 785-3486
Mailing address
5124 SOUTHWIND RD, GREENSBORO, NC 27455-2231
(216) 212-0360
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
006878
OH
152W00000X
Optometrist
Primary
2752
NC
152W00000X
Optometrist
AT4583
OR
152W00000X
Optometrist
TA2908
MD
Other
Enumeration date
07/06/2020
Last updated
02/13/2026
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