Doctor Name: | JEFFERY ROBERT GRIMES |
NPI Number: | 1194790881 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 38962 |
Business Practice Address: | 1 Hospital Rd Cherokee Indian Hospital Cherokee, NC - 28723 |
Business Phone Number: | 8284979163 |
Business Fax Number: | |
Mailing Address: | 1 Hospital Rd, Cherokee Indian Hospital CHEROKEE |
State: | NC |
Postal Code: | 28723 |
Phone Number: | 8284979163 |
Fax Number: | |
NPI Enumeration Date: | 02/17/2006 |
NPI Last Update Date: | 10/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RA0401X |
License Number: | 38962 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Addiction Medicine |
Taxonomy Definition: | An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |