Individual provider · Type 1 NPI

Johnathan Grimes

Student in an Organized Health Care Education/Training Program · Gainesville, GA

NPI number 1174317093 Active

Practice location

1075 Jesse Jewell Pkwy SE
Gainesville, GA 30501

Call (770) 219-5407 Map

Fax (770) 219-8369

Mailing address

743 Spring St NE Ste 710
Gainesville, GA 30501-3715

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1174317093

Johnathan Grimes's National Provider Identifier is 1174317093, issued on Apr 7, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Gainesville, GA. The record was last updated on Apr 7, 2025.