Grimball, Carolyn Jones

Grimball, Carolyn Jones is an individual health care provider with primary practice located at Palmetto Health Baptist Taylor At Marion Streets, Columbia SC 29201. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Grimball, Carolyn Jones can be contacted via phone (803) 296-2548.

Contact Information

Primary practice address
Palmetto Health Baptist Taylor At Marion Streets Columbia SC 29201
Phone: (803) 296-2548
Fax: (803) 296-2548
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 505 South Carolina

Profile Details

NPI number 1225005333
LBN Legal business name Grimball, Carolyn Jones
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated Feb 4th, 2008 - about 16 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 1225005333 NPPES
South Carolina MEDICAID AN0516

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