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Individual

DR. CHAD MICHAEL GRIDLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
507 N BRIGHTLEAF BLVD STE 100, SMITHFIELD, NC 27577-4405
(615) 322-3000
(919) 934-4133
Mailing address
2000 PERIMETER PARK DR STE 200, MORRISVILLE, NC 27560-8442

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
2019-01461
NC
208800000X
Urology Physician
57.023313
OH
208800000X
Urology Physician
57466
TN
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/30/2013
Last updated
05/10/2021
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