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Organization
TERRY GRAYBEAL
Active
Organization
TERRY GRAYBEAL
Active
Other names
Greeneville Orthotics & Prosthetics
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY GRAYBEAL (OWNER)
(423) 638-2670
Entity
Organization
Contact information
Practice address
504 JUSTIS DR, GREENEVILLE, TN 37745-4287
(423) 638-2670
(423) 638-6592
Mailing address
504 JUSTIS DR, GREENEVILLE, TN 37745-4287
(423) 638-2670
(423) 638-6592
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
0460275
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3546804
—
TN
01
—
48336
BCBS
TN
Enumeration date
12/07/2007
Last updated
01/18/2008
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