Grayson, Patrick

Grayson, Patrick is an individual health care provider with primary practice located at 1850 Old Knoxville Rd , Tazewell TN 37879-3625. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Grayson, Patrick can be contacted via phone (423) 626-4211.

Contact Information

Primary practice address
1850 Old Knoxville Rd Tazewell TN 37879-3625
Phone: (423) 626-4211
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 36478 Tennessee
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD.13301R Louisiana

Profile Details

NPI number 1720029275
LBN Legal business name Grayson, Patrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Jun 12th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720029275 NPPES
Louisiana MEDICAID 1561100
Louisiana Other 4067317
Louisiana Other P00255392
Louisiana MEDICAID 3875615
Louisiana MEDICAID 010256682

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