Individual
RONALD A. GRACY II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
941 SPRING CREEK RD, CHATTANOOGA, TN 37412-3909
(423) 894-7870
(865) 539-8008
Mailing address
PO BOX 634706, CINCINNATI, OH 45263-0001
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD24850
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000593568B
—
GA
01
—
3036300
BCBS OF TENNESSEE
TN
05
—
3079844
—
TN
05
—
3079849
—
TN
01
—
4150069
BLUE CROSS
TN
01
—
P00217707
RAILROAD MEDICARE
TN
Enumeration date
07/06/2006
Last updated
07/31/2017
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