Provider Demographics
NPI:1396799334
Name:GRIGSBY-SESSOMS, KIMBERLY DENISE (MD)
Entity type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:DENISE
Last Name:GRIGSBY-SESSOMS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 BEAMAN ST
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:NC
Mailing Address - Zip Code:28328-2602
Mailing Address - Country:US
Mailing Address - Phone:910-290-5000
Mailing Address - Fax:
Practice Address - Street 1:102 SW RAILROAD ST
Practice Address - Street 2:
Practice Address - City:ROSE HILL
Practice Address - State:NC
Practice Address - Zip Code:28458-9200
Practice Address - Country:US
Practice Address - Phone:910-289-9248
Practice Address - Fax:910-289-7437
Is Sole Proprietor?:No
Enumeration Date:2006-05-22
Last Update Date:2012-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC33919207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8975241Medicaid
NC75241OtherBCBS
NC890161LMedicaid
NC890161LMedicaid
NC75241OtherBCBS