Search › Tennessee › 183500000X
Jonathan Grim
NPI 1942623574 · on the registry since 2014 · sole proprietor
Practice
- Address
- 4335 Fort Henry Dr
Kingsport, TN 37663 - Phone
- (423) 239-6261
- Organisation at this address
- Ingles Markets Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-02-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee