Samuel Grissom in Pensacola - Spinal Cord Injury Medicine
Samuel Grissom - NPI 1205824265
Samuel Grissom is a Spinal Cord Injury Medicine in Pensacola, Florida. Samuel Grissom practices all healthcare services and medical treatments related to Spinal Cord Injury Medicine. The NPI Number for Samuel Grissom is 1205824265. The last update date is 2018-12-07.
Samuel Grissom's current location address is 8391 N Davis Hwy, Pensacola, Florida. You can contact this provider via phone number 8504946000 and fax number 8669474181. The mailing address for Samuel Grissom is 8391 N Davis Hwy, Pensacola, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Samuel Grissom |
|---|---|
| Address | 8391 N Davis Hwy, Pensacola, Florida |
| Phone Number | 8504946000 |
| Fax Number | 8669474181 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1205824265 |
|---|---|
| Provider Enumeration Date | 2005-10-12 |
| Last Updated Date | 2018-12-07 |
Provider Mailing Address Detail
| Address | 8391 N Davis Hwy |
|---|---|
| City | Pensacola |
| State | Florida (FL) |
| Post Code | 325146048 |
| Phone Number | 8504946000 |
| Fax Number | 8669474181 |
Provider's Primary Taxonomy Detail
| Speciality | Spinal Cord Injury Medicine |
|---|---|
| Taxonomy | 2081P0004X |
| Licence No | 19219 |
|
Definition: A physician who addresses the prevention, diagnosis, treatment and management of traumatic spinal cord injury and non-traumatic etiologies of spinal cord dysfunction by working in an interdisciplinary manner. Care is provided to patients of all ages |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2554707 | MS | -- |
Post Comment/ Review Below
What is the Samuel Grissom's 1205824265?
The Samuel Grissom's NPI (National Provider Identifier) Number is 1205824265. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Samuel Grissom is physically located?
The Samuel Grissom is physically situated at the following address: 8391 N Davis Hwy, Pensacola, FL, 325146048.
What is Samuel Grissom's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Samuel Grissom is Spinal Cord Injury Medicine, and the taxonomy code that classifies this field of practice is 2081P0004X.
When was the Samuel Grissom's 1205824265 issued?
The Samuel Grissom's 1205824265 was issued on 2005-10-12.
As of what date were the details pertaining to Samuel Grissom last refreshed?
The information related to the Samuel Grissom, including its address, specialty, and other relevant details, was last updated on 2018-12-07.
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