Individual provider · Type 1 NPI

Charles Gary Grigsby Iii, MD

Student in an Organized Health Care Education/Training Program · Lexington, KY

NPI number 1649809740 Active

Practice location

900 South Limestone Ctw 304
Lexington, KY 40536-0001

Call (859) 323-6561 Map

Mailing address

504 Burning Tree Cir
Lexington, KY 40509-1934

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 1649809740

Charles Gary Grigsby Iii, MD's National Provider Identifier is 1649809740, issued on Apr 2, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lexington, KY. The record was last updated on May 4, 2020.