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Lee Grimm, M.d., P.c.
Specialist in Southaven, Mississippi
NPI 1104007558

Lee Grimm, M.d., P.c. is a Specialist based in Johnson City, MS. Lee Grimm, M.d., P.c. practices in Southaven, MS. The NPI Number for Lee Grimm, M.d., P.c. is 1104007558 and holds a License No. 12705 (Mississippi).

The current practice location address for Lee Grimm, M.d., P.c. is 7580 Clarington Cv, Southaven, MS and can be reached out via phone at 423-854-0001 and via fax at 423-854-0002.

Location: 7580 Clarington Cv, Southaven, MS, 37604-4100
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104007558
Provider Name
Lee Grimm, M.d., P.c.
Credential
Provider Entity Type
Organization
Address
7580 Clarington Cv, Southaven, MS, 37604-4100
Phone Number
423-854-0001
Fax Number
423-854-0002
Provider Enumeration Date
11/14/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DD0811 01 MS RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
7580 Clarington Cv
City
Southaven
State
Mississippi
Zip
38671-5657
Phone Number
423-854-0001
Fax Number
423-854-0002
person
Provider Business Mailing Address Details
Address
7580 Clarington Cv
City
Southaven
State
Mississippi
Zip
38671-5657
Phone Number
423-854-0001
Fax Number
423-854-0002
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
12705 (Mississippi)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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