Organization · NPI-2

Graybeal Orthopedic, LLC

Prosthetic/Orthotic Supplier · Johnson City, TN

NPI number1265452650
StatusActive
Last updated in NPPESMay 27, 2020

Details

NPI
1265452650
Entity type
Organization (NPI-2)
Legal business name
Graybeal Orthopedic, LLC
Organization subpart
No
Enumeration date
Jul 20, 2006
Certification date
May 27, 2020
Last updated
May 27, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
335E00000X Prosthetic/Orthotic Supplier––Yes

Other names

  • Anchor Brace And Limb (Doing Business As)

Practice location

107 E Myrtle Ave
Johnson City, TN 37601-4631

Phone 423-975-9884 · Fax 423-975-6678

Mailing address

107 E Myrtle Ave
Johnson City, TN 37601-4631

Phone 423-975-9884 · Fax 423-975-6678

Authorized official

Adam Fann
Owner
4239759884

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