Lee Grimm, M.d., P.c.

NPI #1104007558 in Southaven, Mississippi

Provider Information

NPI Number: 1104007558
Entity Type: Organization
Organization Name: Lee Grimm, M.d., P.c.
Primary Specialty: Specialist
Enumeration Date: Nov 14, 2007
Last Updated: Mar 12, 2008

Practice Location

Address: 7580 CLARINGTON CV
Address 2: SUITE 3
City: Southaven
State: Mississippi
ZIP Code: 38671-5657
Phone: (423) 854-0001

Authorized Official

Name: LEE M GRIMM, M.D.
Title: OWNER
Phone: (423) 854-0001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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