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Contact Information

LEE GRIMM, MD PC
3101 BROWNS MILL RD PMB 386
SUITE 6
JOHNSON CITY, TN37604-4100
 Phone: 423-854-0001
 Fax: 423-854-0002
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Legal Medicine

173000000X
Indicates primary specialty

NPI Profile & details for LEE GRIMM, MD PC

NPI # 1407065709
LBN Legal business name LEE GRIMM, MD PC
Authorized official LEE GRIMM - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/22/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
TN License # MD20507
MS Medicaid 00111800
TN Medicaid 3053456
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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