| NPI | 1639460116 |
|---|---|
| Other Name | BILLY GRIMES |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 40086) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NE 27064) |
| Enumeration Date | 2011-05-02 |
| Last Update Date | 2020-10-29 |