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James Harrison Grunwald

Family Medicine

Allopathic & Osteopathic Physicians

1601 Owen Dr, Fayetteville, NC 28304-3425

PECOS Enrollment

This provider is enrolled in PECOS as JAMES GRUNWALD.

Based on the most recent information from CMS, provider James Harrison Grunwald 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 6 days ago.

Profile Details

Provider ID
1225529498
Provider Type
Individual
Full Name
Grunwald, James Harrison
Credential
D.O.

Gender
Male
Sole Proprietor
No
Enumeration Date
5/23/2018
Last Updated
5/23/2018

Contact Information

Practice Location

1601 Owen Dr, Fayetteville, NC 28304-3425

(910) 678-0100

(910) 678-0115

Mailing Location

1601 Owen Dr, Fayetteville, NC 28304-3425

(910) 678-0100

(910) 678-0115

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License 239897 North Carolina

James Harrison Grunwald

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Tran, Hung Vihn

Precision Health, Pc

Kassaye, Bethlehem A.

Brooks-Fernandez, Connie

Ainolhayat, Cecilia

Imber, Christopher Dean

Pinnacle Family Care Pllc

Leonard, Hayley Nicole

Haymount Urgent Care

Ray, John M