Organization
BRISTOL ORTHOTICS & PROSTHETICS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA WILL GRAYBEAL C.P.,L.P.O. (OWNER/PRESIDENT)
(423) 968-4442
Entity
Organization
Contact information
Practice address
921 BROAD ST, KINGSPORT, TN 37660-3801
(423) 968-4442
(423) 968-4777
Mailing address
553 HIGHWAY 126, BRISTOL, TN 37620-1685
(423) 968-4442
(423) 968-4777
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
06/16/2014
Last updated
06/16/2014
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