Individual
DR. JOHN ALLEN GRACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7011 SHALLOWFORD RD, SUITE 106, CHATTANOOGA, TN 37421-6727
(423) 826-8585
(423) 826-8588
Mailing address
PO BOX 430, CHATTANOOGA, TN 37401-0430
(423) 826-8585
(423) 826-8588
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
0101271210
VA
207X00000X
Orthopaedic Surgery Physician
034145
GA
207X00000X
Orthopaedic Surgery Physician
20422
ND
207X00000X
Orthopaedic Surgery Physician
Primary
27446
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00470115C
—
GA
Enumeration date
08/31/2005
Last updated
03/21/2025
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