Individual provider · Type 1 NPI

Jerald Dean Grissom Jr., PA-C

Physician Assistant · Winston Salem, NC

NPI number 1912960659 Active

Practice location

Medical Center Blvd
Winston Salem, NC 27157-0001

Call (336) 716-8898 Map

Fax (336) 716-7277

Mailing address

2271 N Nc 119
Mebane, NC 27302

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X0010-04281 (NC)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1912960659

Jerald Dean Grissom Jr., PA-C's National Provider Identifier is 1912960659, issued on Apr 11, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Winston Salem, NC. The record was last updated on Feb 17, 2014.