Grissom, Nicholas Bradley

Grissom, Nicholas Bradley is an individual health care provider with primary practice located at 3312 Battleground Ave , Greensboro NC 27410-2548. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Glaucoma Specialist. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Grissom, Nicholas Bradley can be contacted via phone (336) 282-5000.

Contact Information

Primary practice address
3312 Battleground Ave Greensboro NC 27410-2548
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD204084 Oregon
Allopathic & Osteopathic Physicians / Glaucoma Specialist 207WX0009X 202202395 North Carolina
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 202202395 North Carolina

Profile Details

NPI number 1376075366
LBN Legal business name Grissom, Nicholas Bradley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2017
Last updated Dec 20th, 2023 - about 2 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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