Individual
SEAN PATRICK GRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
988 OAK RIDGE TPKE STE 100, OAK RIDGE, TN 37830-6919
(865) 483-8478
(865) 483-4194
Mailing address
PO BOX 306556, NASHVILLE, TN 37230-6556
(865) 694-0062
(865) 695-1494
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
42255
TN
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
42255
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3000530
—
TN
Enumeration date
05/18/2006
Last updated
10/12/2023
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