Grimm, Taylore Marie

Grimm, Taylore Marie is an individual health care provider with primary practice located at 979 E 3Rd St Ste C-520 , Chattanooga TN 37403-2136. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Grimm, Taylore Marie can be contacted via phone (423) 778-5661.

Contact Information

Primary practice address
979 E 3Rd St Ste C-520 Chattanooga TN 37403-2136
Phone: (423) 778-5661
Fax: (423) 778-5664
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 3397 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 3397 Tennessee

Profile Details

NPI number 1598276057
LBN Legal business name Grimm, Taylore Marie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2017
Last updated Jun 16th, 2018 - about 6 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 1598276057 NPPES
Tennessee Other 3397 STATE LICENSE NUMBER

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