Individual
GRAYSON WILLIAM MENARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 UNIVERSITY BLVD E STE 606, TUSCALOOSA, AL 35401-7411
(205) 752-2501
(205) 759-5874
Mailing address
3495 PIEDMONT RD NE BLDG 93, ATLANTA, GA 30305-1717
(404) 949-5183
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
36866
AL
208600000X
Surgery Physician
56149
TN
208600000X
Surgery Physician
Primary
86092
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36866
—
AL
05
—
INTERN
—
LA
05
—
Q032754
—
TN
Enumeration date
06/14/2011
Last updated
07/21/2022
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