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
Mailing address5669 Tarawa Blvd, Tarawa Terrace, NC 28543-1325