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Individual

DR. DAVID GRANT HEALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
100 VERMONT AVE, OAK RIDGE, TN 37830-6471
(865) 482-1777
(865) 482-1030
Mailing address
100 VERMONT AVE, OAK RIDGE, TN 37830-6471
(865) 482-1777
(865) 482-1030

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9882
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080015074
MEDICARE RAILDROAD
TN
05
3172364
TN
Enumeration date
11/17/2005
Last updated
11/11/2008
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