Individual
GRAYDEN TUBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL PARK DR, FULTON, MS 38843-9001
(662) 862-5200
(662) 862-5297
Mailing address
450 E PRESIDENT AVE, TUPELO, MS 38801-5599
(662) 377-4685
(662) 377-2755
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04261
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00113462
—
MS
Enumeration date
04/26/2006
Last updated
10/08/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us