Most Relevant Information
Provider Data
| NPI Number: | 1003633900 |
| Provider Name: | KHAMEDRIAH GRIMES |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/23/2024 |
| Last Updated: | 09/23/2024 |
Provider Practice Location
205 FARRS BRIDGE RD
GREENVILLE
SC
296171905
Practice Location Phone/Fax
| Phone: | 8643830384 |
| Fax: |
Provider Mailing Location
205 FARRS BRIDGE RD
GREENVILLE
SC
296171905
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |