Individual
DR. LAURA JANE GRAYBEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
921 W NEVILLE ST, SUITE 200, BECKLEY, WV 25801-4360
(304) 254-8346
(304) 254-8348
Mailing address
921 W NEVILLE ST, SUITE 200, BECKLEY, WV 25801-4360
(304) 254-8346
(304) 254-8348
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
20972
WV
207R00000X
Internal Medicine Physician
Primary
20972
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2003833000
—
WV
Enumeration date
10/31/2005
Last updated
03/04/2013
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