Individual
JON ANDREW GRAMMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
844 KEMPSVILLE RD STE 204, NORFOLK, VA 23502-3927
(757) 261-0700
(757) 261-0701
Mailing address
844 KEMPSVILLE RD STE 204, NORFOLK, VA 23502-3927
(757) 261-0700
(757) 261-0701
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
0102202645
VA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
0102202645
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VAA103564
INDIVIDUAL PTAN
—
Enumeration date
05/06/2010
Last updated
12/29/2023
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