Individual
GRAYSON TOLMIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 981-7000
Mailing address
2402 AVENHAM AVE SW APT 5, ROANOKE, VA 24014-1622
(410) 458-4573
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110-004838
VA
Other
Enumeration date
01/24/2015
Last updated
01/24/2015
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