Grimes, Jeffery Robert

Grimes, Jeffery Robert is an individual health care provider with primary practice located at 109 Bee St , Charleston SC 29401-5703. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Grimes, Jeffery Robert can be contacted via phone (843) 577-5011.

Contact Information

Primary practice address
109 Bee St Charleston SC 29401-5703
Phone: (843) 577-5011
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X 38962 North Carolina
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 38962 North Carolina
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 38962 North Carolina
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD29477 South Carolina

Profile Details

NPI number 1194790881
LBN Legal business name Grimes, Jeffery Robert
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Dec 5th, 2019 - 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 1194790881 NPPES
North Carolina Other 37653 BCBS
North Carolina MEDICAID 1194790881 BCBS

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