Individual
SUSAN GRAYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 W WASHINGTON ST, DEMOPOLIS, AL 36732-2043
(334) 289-4749
(334) 287-2197
Mailing address
111 W WASHINGTON ST, DEMOPOLIS, AL 36732-2043
(334) 289-4749
(334) 287-2197
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
11/15/2006
Last updated
06/10/2008
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