Organization
KINGSPORT BRACE AND LIMB, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY ALLEN GRAYBEAL CPO (PRESIDENT/CPO)
(423) 246-3324
Entity
Organization
Contact information
Practice address
921 BROAD ST, KINGSPORT, TN 37660-3801
(423) 246-3324
(423) 246-9176
Mailing address
921 BROAD ST, KINGSPORT, TN 37660-3801
(423) 246-3324
(423) 246-9176
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
10/03/2006
Last updated
10/14/2013
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