Grimes, Jeffery Robert
Grimes, Jeffery Robert is an individual health care provider with primary practice located at 109 Bee St , Charleston SC 29401-5703. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Grimes, Jeffery Robert can be contacted via phone (843) 577-5011.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Addiction Medicine | 207RA0401X | 38962 | North Carolina |
Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 38962 | North Carolina |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 38962 | North Carolina |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD29477 | South Carolina |
Profile Details
NPI number | 1194790881 |
---|---|
LBN Legal business name | Grimes, Jeffery Robert |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 17th, 2006 |
Last updated | Dec 5th, 2019 - about 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1194790881 | NPPES |
North Carolina | Other | 37653 | BCBS |
North Carolina | MEDICAID | 1194790881 | BCBS |
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