Lee Grimm, M.D., P.C.

LBN: Lee Grimm, M.D., P.C.
Lee Grimm, M.D., P.C. is an health care organization with primary practice located at 7580 Clarington Cv Suite 3, Southaven MS 38671-5657. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Lee Grimm, M.D., P.C. can be contacted via phone (423) 854-0001, or through Grimm, Lee M via phone (423) 854-0001.

Contact Information

Primary practice address
7580 Clarington Cv Suite 3 Southaven MS 38671-5657
Fax: (423) 854-0002
Website:
Authorized official contact:
Name: Grimm, Lee M Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 12705 Mississippi

Profile Details

NPI number 1104007558
LBN Legal business name Lee Grimm, M.D., P.C.
DBA Doing business as
Authorized official Grimm, Lee M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 14th, 2007
Last updated Mar 12th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104007558 NPPES
Mississippi Other DD0811 RAILROAD MEDICARE

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