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Organization

GRAYBEAL ORTHOPEDIC LLC

Active
Parent organization
GRAYBEAL ORTHOPEDIC LLC
Other names
Anchor Brace and Limb
Organization subpart
Yes

Provider details

NPI number
Legal business name
GRAYBEAL ORTHOPEDIC LLC
Authorized official
MR. ADAM LEE FANN CPO (OWNER)
(423) 975-9884
Entity
Organization

Contact information

Practice address
350 BLOUNTVILLE HWY STE 103, BRISTOL, TN 37620-1676
(423) 612-1011
(844) 968-2180
Mailing address
107 E MYRTLE AVE, JOHNSON CITY, TN 37601-4631
(423) 975-9884
(423) 975-6678

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
332BC3200X
Customized Equipment (DME)
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Enumeration date
01/13/2021
Last updated
03/17/2025
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