Dr. J Grady Elliott, O.D.
Optometrist in Winston Salem, NC. Individual provider (NPI-1).
NPI number1285774166
StatusActive
Last updated in NPPESApr 13, 2011
Details
- NPI
- 1285774166
- Entity type
- Individual (NPI-1)
- Name
- Dr. J Grady Elliott
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 8, 2007
- Last updated
- Apr 13, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 1456 | NC | Yes |
Practice location
3111 Maplewood AveSuite 103
Winston Salem, NC 27103-3906
Phone 336-765-8130 · Fax 336-765-6403
Mailing address
3111 Maplewood AveSuite 103
Winston Salem, NC 27103-3906
Phone 336-765-8130 · Fax 336-765-6403
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All 81 Optometrist providers in Winston Salem · All 11,775 providers in Winston Salem
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