Individual
RICHARD DWIGHT GRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3110 WELLONS BLVD, NEW BERN, NC 28562-5247
(252) 638-2515
(252) 638-8538
Mailing address
PO BOX 896206, CHARLOTTE, NC 28289-6206
(252) 638-2515
(252) 638-8538
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
21784
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8936530
—
NC
Enumeration date
06/03/2006
Last updated
03/17/2017
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