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Holly Charlene Grigsby

Family Medicine

Allopathic & Osteopathic Physicians

1936 Brookside Dr Ste E, Kingsport, TN 37660-4654

PECOS Enrollment

This provider is enrolled in PECOS as HOLLY GRIGSBY.

Based on the most recent information from CMS, provider Holly Charlene Grigsby is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 4:18 PM.

Profile Details

Provider ID
1326138470
Provider Type
Individual
Full Name
Grigsby, Holly Charlene
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
10/12/2006
Last Updated
5/15/2024

Contact Information

Practice Location

1936 Brookside Dr Ste E, Kingsport, TN 37660-4654

(423) 378-1500

(423) 378-1520

Mailing Location

1936 Brookside Dr Ste E, Kingsport, TN 37660-4654

(423) 378-1500

(423) 378-1520

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License MD42820 Tennessee
Code 207Q00000X	Description Family Medicine Allopathic & Osteopathic Physicians	License 0101242431 Virginia

Holly Charlene Grigsby

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Platzer, Peter B

Hixson, Constance Thetford

Watson, Sean Joseph

Brazee, Louise J

Jones, Lesley Ann

Centerpoint Medical Clinic Llc

Hewitt, Sarah N.

Bates, Chad

Rajoo, Shari K

Poortenga, Cynthia L