Individual
GRAYSON H WHEATLEY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2400 PATTERSON ST, SUITE 307, NASHVILLE, TN 37203-1562
(615) 342-6900
(615) 342-6899
Mailing address
2400 PATTERSON ST, SUITE 307, NASHVILLE, TN 37203-1562
(615) 342-6900
(615) 342-6899
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD448565
PA
2086S0129X
Vascular Surgery Physician
33217
AZ
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
54798
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54798
TN MEDICAL LICENSE
TN
05
—
891186
—
AZ
01
—
P00219385
RAILROAD MEDICARE
AZ
01
—
WCSKQ
SUN HEALTH GROUP #
AZ
Enumeration date
08/02/2005
Last updated
10/03/2016
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