Charles Kevin Grigsby
Surgical Critical Care
825 Fairfax Ave Ste 610
Norfolk
, Virginia 23507-1912
Charles Kevin Grigsby
Surgical Critical Care
825 Fairfax Ave Ste 610
Norfolk
, Virginia 23507-1912
(757) 446-5197
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About
Features
Specialties
- Surgical Critical Care
Languages spoken
- English
Location
First Address
- Charles Kevin Grigsby
- Po Box 936
- Norfolk, VA
- Zip : 23501-0936
- Fax : (757) 446-5197
- Phone : (757) 446-8960
Second Address
- Charles Kevin Grigsby
- 825 Fairfax Ave Ste 610
- Norfolk, VA
- Zip : 23507-1912
- Fax : (757) 446-5197
- Phone : (757) 446-8960
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0102X | Surgical Critical Care | 0101265120 | VA |
National Provider Identifier
| NPI | 1114366028 |
|---|---|
| Provider Name | Charles Kevin Grigsby |
| First Address | Norfolk, VA 23501-0936 |
| Second Address | Norfolk, VA 23507-1912 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/06/2013 |
| Last Update Date | 02/07/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.