Individual
MR. CASEY ALAN GRAYBILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
3700 S MAIN ST, BLACKSBURG, VA 24060-7017
(540) 951-1111
(540) 953-5295
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001263149
VA
363LF0000X
Family Nurse Practitioner
Primary
0024178795
VA
Other
Enumeration date
10/18/2019
Last updated
02/14/2020
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