Individual
DR. JOHN NOLAN GRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4500 13TH ST, GULFPORT, MS 39501-2569
(228) 867-4396
Mailing address
PO BOX 1810, GULFPORT, MS 39502-1810
(228) 575-1194
(228) 575-2917
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
23986
MS
208M00000X
Hospitalist Physician
Primary
23986
MS
Other
Enumeration date
06/29/2013
Last updated
08/10/2023
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