Individual
MR. RALPH LEWIS GRAYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
4865 SUMMIT RIDGE RD, VALDOSTA, GA 31602-5008
(229) 259-9623
(229) 560-9936
Mailing address
4865 SUMMIT RIDGE RD, VALDOSTA, GA 31602-5008
(229) 259-9623
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
CPO 61
GA
Other
Enumeration date
09/21/2010
Last updated
09/21/2010
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