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Contact Information

RUBY A GRIMM, MD
738 BRYANT ST
STATESVILLE, NC28677-4189
 Phone: 704-873-2219
 Fax: 704-873-1379
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
 

Legal Medicine

173000000X
Indicates primary specialty

NPI Profile & details for RUBY A GRIMM · (Female)

NPI Number 1154312841
Status Active
Credentials MD
Entity Individual
Enumeration date 11/02/2005
Last updated 02/08/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • NC License # 21472
  • NC Medicaid 8937657
Hospital affiliation(s)
  • IREDELL MEMORIAL HOSPITAL INC - (Acute Care)
    557 BROOKDALE DR P O BOX 1828
    STATESVILLE, NC 28677
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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