Organization
GRADY ORTHOPAEDICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER GRADY D.O. (SURGEON)
(864) 582-2115
Entity
Organization
Contact information
Practice address
480 FLOYD RD, SPARTANBURG, SC 29307-1518
(864) 582-2115
(864) 582-2117
Mailing address
480 FLOYD RD, SPARTANBURG, SC 29307-1518
(864) 582-2115
(864) 582-2117
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
504
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4156
—
SC
Enumeration date
10/11/2006
Last updated
06/19/2008
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