Organization
GRAYBEAL ORTHOPEDIC LLC
Active
Parent organization
GRAYBEAL ORTHOPEDIC LLC
Other names
Anchor Brace and Limb
Organization subpart
Yes
Provider details
NPI number
Legal business name
GRAYBEAL ORTHOPEDIC LLC
Authorized official
MR. ADAM LEE FANN CPO (OWNER)
(423) 975-9884
Entity
Organization
Contact information
Practice address
127 WILLOW DR, STE F, WHITESBURG, KY 41858
(606) 331-3188
(606) 203-2780
Mailing address
107 E MYRTLE AVE, JOHNSON CITY, TN 37601-4631
(423) 975-9884
(423) 975-6678
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
11/14/2024
Last updated
03/17/2025
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