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Individual

GRAYSON BANKS JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
1364 INTERSTATE DR STE 101, CROSSVILLE, TN 38555-6187
(931) 456-8880
(931) 456-8883
Mailing address
1364 INTERSTATE DR STE 101, CROSSVILLE, TN 38555-6187
(931) 456-8880
(931) 456-8883

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3929
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q100550
TN
Enumeration date
03/04/2025
Last updated
03/19/2025
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