Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cory Raymond Grimm

Individual provider Other Specialist/Technologist · NPI 1790587160

Cory Raymond Grimm is an Other Specialist/Technologist in Tarawa Terrace, North Carolina. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

5669 Tarawa Blvd
Tarawa Terrace, NC 28543-1325
Phone: (470) 334-8279
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Other Specialist/Technologist (primary) Taxonomy 246Z00000X

Record details

NPI number1790587160
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 26, 2025
Last updated in NPPESMarch 26, 2025
Certification dateMarch 26, 2025