IndividualActive
Jerry Grimes
NPI 1457579609 · Surgical Technologist · Austell, GA
Provider details
- NPI number
- 1457579609
- Entity type
- Individual
- Primary specialty
- Surgical TechnologistTechnologists, Technicians & Other Technical Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Practice location
705 Whisper Trl
Apt #204b
Austell, GA 30168-7135
Phone: (678) 488-5272
Fax: (770) 723-9352
Mailing address
Po Box 28094
Atlanta, GA 30358-0094
Registry dates
- Enumerated
- 2007-04-23
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.