Individual
DR. JOHN JAY MCGRAW SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
120 HOSPITAL DR, SUITE 250, JEFFERSON CITY, TN 37760-5287
(865) 558-4400
(865) 475-1124
Mailing address
260 FORT SANDERS WEST BLVD, KNOXVILLE, TN 37922-3355
(865) 769-4545
(865) 769-4501
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD37671
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1512309
—
TN
05
—
3886924
—
TN
01
—
4066070
BLUE CROSS BLUE SHIELD
TN
01
—
P00128075
RAILROAD MEDICARE
TN
01
—
TN01G9
JOHN DEERE HEALTHCARE
TN
Enumeration date
03/17/2006
Last updated
05/08/2014
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