Organization
GRAYBEAL ORTHOPEDIC LLC
Active
Parent organization
GRAYBEAL ORTHOPEDIC LLC
Other names
Anchor Brace and Limb
Organization subpart
Yes
Provider details
NPI number
Legal business name
GRAYBEAL ORTHOPEDIC LLC
Authorized official
ADAM LEE FANN CPO (OWNER)
(423) 975-9884
Entity
Organization
Contact information
Practice address
430 W RAVINE RD STE 100B, KINGSPORT, TN 37660-3868
(423) 863-4191
(844) 419-1119
Mailing address
107 E MYRTLE AVE, JOHNSON CITY, TN 37601-4631
(423) 975-9884
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
09/21/2021
Last updated
03/17/2025
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