Individual
DR. JOHN CARL GRADY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2538
(910) 450-4910
Mailing address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2575
(910) 450-4357
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2007-00800
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/13/2006
Last updated
04/01/2022
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