| Victor Grimes Inc | |
|
3267 Watson Meadow Ln Loganville GA 30052-8297 | |
| (470) 460-5568 | |
| Not Available |
| Full Name | Victor Grimes Inc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3267 Watson Meadow Ln, Loganville, Georgia |
| Authorized Official Name and Position | Victor Grimes (CEO) |
| Authorized Official Contact | 4704605568 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Victor Grimes Inc 3267 Watson Meadow Ln Loganville GA 30052-8297 Ph: (470) 460-5568 | Victor Grimes Inc 3267 Watson Meadow Ln Loganville GA 30052-8297 Ph: (470) 460-5568 |
| NPI Number | 1720716897 |
|---|---|
| Provider Enumeration Date | 08/08/2022 |
| Last Update Date | 01/31/2023 |
| Certification Date | 08/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720716897 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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