Bonnie J Grissom RN

NPI 1003016650 - Registered Nurse - 163WD0400X

NPI Details
NPI 1003016650
Gender Female
Enumeration Date 07/23/2007
Last Updated 07/23/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
PALMETTO HEALTH BAPTIST DIABETES EDUCATION
1333 TAYLOR STREET; SUITE 4-E
COLUMBIA SC, 29201, US
Phone (803) 296-3956
Fax (803) 296-8908
Business Location
PALMETTO HEALTH BAPTIST DIABETES EDUCATION
1333 TAYLOR STREET; SUITE 4-E
COLUMBIA SC, 29201, US
Phone (803) 296-3956
Fax (803) 296-8908
Toxanomy
Taxonomy Code 163WD0400X
License State South Carolina
License Number 64034
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According to our database, Bonnie J Grissom RN NPI is 1003016650, taxonomy code is 163WD0400X and license number is 64034, license state is located at South Carolina. Bonnie J Grissom RN physically located at Palmetto Health Baptist Diabetes Education, Columbia SC, 29201. NPI Number Bonnie J Grissom RN has the Individual type.

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1003016650 NPI number is provided on an as is basis without warranty of any kind. 1003016650 is maintained by the National Plan & Provider Enumeration System. The contents of Bonnie J Grissom RN are for informational purposes only.