Bonnie J Grissom in Columbia - Diabetes Educator
Bonnie J Grissom - NPI 1003016650
Bonnie J Grissom is a Diabetes Educator in Columbia, South Carolina. Bonnie J Grissom practices all healthcare services and medical treatments related to Diabetes Educator. The NPI Number for Bonnie J Grissom is 1003016650. The last update date is 2007-07-23.
Bonnie J Grissom's current location address is Palmetto Health Baptist Diabetes Education, Columbia, South Carolina. You can contact this provider via phone number 8032963956 and fax number 8032968908. The mailing address for Bonnie J Grissom is Palmetto Health Baptist Diabetes Education, Columbia, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bonnie J Grissom |
|---|---|
| Address | Palmetto Health Baptist Diabetes Education, Columbia, South Carolina |
| Phone Number | 8032963956 |
| Fax Number | 8032968908 |
| Sole Proprietor | Y |
| Credentials | RN |
NPI Number Detail
| NPI Number | 1003016650 |
|---|---|
| Provider Enumeration Date | 2007-07-23 |
| Last Updated Date | 2007-07-23 |
Provider Mailing Address Detail
| Address | Palmetto Health Baptist Diabetes Education |
|---|---|
| City | Columbia |
| State | South Carolina (SC) |
| Post Code | 29201 |
| Phone Number | 8032963956 |
| Fax Number | 8032968908 |
Provider's Primary Taxonomy Detail
| Speciality | Diabetes Educator |
|---|---|
| Taxonomy | 163Wd0400X |
| Licence No | 64034 |
|
Definition: A registered nurse who teaches diabetes self-management skills. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 64034 | SC | STATE LICENSE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Bonnie J Grissom?
The Bonnie J Grissom has been issued the NPI (National Provider Identifier) 1003016650 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Bonnie J Grissom's physical address?
The Bonnie J Grissom is physically located at Palmetto Health Baptist Diabetes Education, in the city of Columbia, SC, with the postal code 29201.
What is the Bonnie J Grissom's specialty and taxonomy code?
The Bonnie J Grissom's specialty is Diabetes Educator, and the corresponding taxonomy code is 163Wd0400X.
On what date did the Centers for Medicare & Medicaid Services assign the 1003016650 to Bonnie J Grissom?
The Centers for Medicare & Medicaid Services assigned the 1003016650 to Bonnie J Grissom on 2007-07-23.
As of what date were the Bonnie J Grissom's details last updated?
The information pertaining to the Bonnie J Grissom, including its address, specialty, and other details, was most recently updated on 2007-07-23.