Grissom, Michael Terrell

Grissom, Michael Terrell is an individual health care provider with primary practice located at 8375 Highway 72 W , Madison AL 35758-9573. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is his primary health care specialty. Grissom, Michael Terrell can be contacted via phone (256) 265-2012.

Contact Information

Primary practice address
8375 Highway 72 W Madison AL 35758-9573
Phone: (256) 265-2012
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 1-131578 Alabama
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 1-131578 Alabama
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 1-131578 Alabama

Profile Details

NPI number 1649649138
LBN Legal business name Grissom, Michael Terrell
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2015
Last updated Sep 15th, 2015 - about 10 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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