Individual
MR. GRAYSON BRENT MAYBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1415 PHYSICIANS DR, WILMINGTON, NC 28401-7338
(910) 662-9500
(910) 662-9501
Mailing address
PO BOX 936857, ATLANTA, GA 31193-6857
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-11780
NC
363A00000X
Physician Assistant
—
—
Other
Enumeration date
07/12/2021
Last updated
01/19/2022
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