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NPI Profile for CARY GRINOLD in KINGS BAY BASE, GA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner |
| NPI Number | 1104894294 |
|
| Status | Active | |
| Credentials | FNP,CDE | |
| Entity | Individual | |
| Enumeration date | 03/14/2006 | |
| Last updated | 02/16/2011 - About 15 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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CARY GRINOLD
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CARY GRINOLD, FNP,CDE