Johnsie Carol Grigg in Daytona Beach - Family Medicine

Johnsie Carol Grigg - NPI 1932102159

Johnsie Carol Grigg is a Family Medicine in Daytona Beach, Florida. Johnsie Carol Grigg practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Johnsie Carol Grigg is 1932102159. The last update date is 2012-06-21.

Johnsie Carol Grigg's current location address is Po Box 9671, Daytona Beach, Florida. You can contact this provider via phone number 3866767130 and fax number 3866767125. The mailing address for Johnsie Carol Grigg is Po Box 9671, Daytona Beach, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Johnsie Carol Grigg
Address Po Box 9671, Daytona Beach, Florida
Phone Number 3866767130
Fax Number 3866767125
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1932102159
Provider Enumeration Date 2005-05-23
Last Updated Date 2012-06-21

Provider Mailing Address Detail

Address Po Box 9671
City Daytona Beach
State Florida (FL)
Post Code 3212096710
Phone Number 3866767130
Fax Number 3866767125

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No ME47294
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4633 FL BLUE CROSS BLUE SHIELD
P00149413 FL RAILROAD MEDICARE

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FAQs about Johnsie Carol Grigg

What is the unique 10-digit identifier code issued to Johnsie Carol Grigg by the Centers for Medicare & Medicaid Services?

The Johnsie Carol Grigg has been assigned the NPI (National Provider Identifier) 1932102159 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Where is the Johnsie Carol Grigg located?

The Johnsie Carol Grigg is located at Po Box 9671, Daytona Beach, FL 3212096710.

What is the Johnsie Carol Grigg's specialty and taxonomy code?

The Johnsie Carol Grigg's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.

On what date did Johnsie Carol Grigg receive its 1932102159 assignment from the Centers for Medicare & Medicaid Services?

The Johnsie Carol Grigg was assigned its 1932102159 on 2005-05-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Johnsie Carol Grigg's details last updated?

The information pertaining to the Johnsie Carol Grigg, including its address, specialty, and other details, was most recently updated on 2012-06-21.

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