Individual
AUSTIN GRAGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2320 STATE ROUTE 3 AND 12, HINTON, WV 25951-5059
(740) 285-4684
Mailing address
2320 STATE ROUTE 3 AND 12, HINTON, WV 25951-5059
(740) 285-4684
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/16/2021
Last updated
03/16/2021
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