Individual
CALLAWAY BROOKE GRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
100 MEDICAL PARK DR, STE 210, CONCORD, NC 28025-2948
(704) 403-6100
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-13743
NC
Other
Enumeration date
06/20/2023
Last updated
09/25/2025
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