Lee Grimm, Md Pc

LBN: Lee Grimm, Md Pc
Lee Grimm, Md Pc is an health care organization with primary practice located at 3101 Browns Mill Rd Pmb 386 Suite 6, Johnson City TN 37604-4100. The organization recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as the primary health care specialty. Lee Grimm, Md Pc can be contacted via phone (423) 854-0001, or through Grimm, Lee via phone (423) 854-0001.

Contact Information

Primary practice address
3101 Browns Mill Rd Pmb 386 Suite 6 Johnson City TN 37604-4100
Phone: (423) 854-0001
Fax: (423) 854-0002
Website:
Map and Directions
Authorized official contact:
Name: Grimm, Lee Doctor of Medicine (MD)
Phone: (423) 854-0001

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X MD20507 Tennessee

Profile Details

NPI number 1407065709
LBN Legal business name Lee Grimm, Md Pc
DBA Doing business as
Authorized official Grimm, Lee Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 22nd, 2007
Last updated Aug 22nd, 2020 - about 5 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 1407065709 NPPES
Mississippi MEDICAID 00111800
Mississippi MEDICAID 3053456

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