MR. Mahlon David Grimsley, PA

NPI #1114963691 in Durham, North Carolina

Provider Information

NPI Number
1114963691
Entity Type
Individual
Name
MR. Mahlon David Grimsley, PA
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Physician Assistant - Medical
Credential
PA
Enumeration Date
Jun 21, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
1824 HILLANDALE RD
City
Durham
ZIP Code
27705-2650
Phone
(919) 957-7862

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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