Individual
HOLLY GRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 CHESHIRE DR, APARTMENT, KNOXVILLE, TN 37919-5823
(937) 429-9584
Mailing address
301 CHESHIRE DR, APARTMENT, KNOXVILLE, TN 37919-5823
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
00000001568
TN
Other
Enumeration date
11/10/2014
Last updated
11/10/2014
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