Menard, Grayson William

Menard, Grayson William is an individual health care provider with primary practice located at 701 University Blvd E Ste 606 , Tuscaloosa AL 35401-7411. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Menard, Grayson William can be contacted via phone (205) 752-2501.

Contact Information

Primary practice address
701 University Blvd E Ste 606 Tuscaloosa AL 35401-7411
Phone: (205) 752-2501
Fax: (205) 759-5874
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 36866 Alabama
Allopathic & Osteopathic Physicians / Surgery 208600000X 56149 Tennessee
Allopathic & Osteopathic Physicians / Surgery 208600000X 86092 Georgia

Profile Details

NPI number 1124313556
LBN Legal business name Menard, Grayson William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2011
Last updated Jul 21st, 2022 - about 4 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 1124313556 NPPES
Louisiana MEDICAID INTERN
Louisiana MEDICAID 36866
Louisiana MEDICAID Q032754

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