Individual
PATRICK CARL GRAYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1425 S MOORE RD STE E, CHATTANOOGA, TN 37412-2836
(865) 406-0802
Mailing address
11 WATERS EDGE DR, MONROE, LA 71203-8842
(865) 406-0802
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
36478
TN
207Q00000X
Family Medicine Physician
36478
TN
207Q00000X
Family Medicine Physician
MD.13301R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010256682
—
VA
05
—
1561100
—
LA
05
—
3875615
—
TN
01
—
4067317
BCBS OF TENNESSEE
TN
01
—
P00255392
RAILROAD MEDICARE
TN
Enumeration date
06/08/2006
Last updated
05/22/2025
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