Individual
DR. GRAYDON FRANK STALLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2555 COURT DR, SUITE 450, GASTONIA, NC 28054-2134
(704) 671-7652
(704) 671-7656
Mailing address
2555 COURT DR SUITE 270, GASTONIA, NC 28054
(727) 422-3477
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2014-01062
NC
208600000X
Surgery Physician
5101017931
MI
Other
Enumeration date
06/28/2008
Last updated
06/04/2014
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