Grigsby, David A.

Grigsby, David A. is an individual health care provider with primary practice located at 433 West Central Ave Suite 2, Jamestown TN 38556-0000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Grigsby, David A. can be contacted via phone (931) 752-5844.

Contact Information

Primary practice address
433 West Central Ave Suite 2 Jamestown TN 38556-0000
Fax: (931) 752-5845
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 8021 Tennessee

Profile Details

NPI number 1366411977
LBN Legal business name Grigsby, David A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Aug 10th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366411977 NPPES
Kentucky MEDICAID 64747793
Kentucky Other 100033436
Kentucky Other TN0115
Kentucky Other 4152618

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