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Graybeal Orthopedic, Llc
Prosthetic/Orthotic Supplier in Johnson City, Tennessee
NPI 1265452650

Graybeal Orthopedic, Llc is a Prosthetic/Orthotic Supplier based in Johnson City, TN. Graybeal Orthopedic, Llc practices in Johnson City, TN. The NPI Number for Graybeal Orthopedic, Llc is 1265452650 and holds a License No. (Tennessee).

The current practice location address for Graybeal Orthopedic, Llc is 107 E Myrtle Ave, Johnson City, TN and can be reached out via phone at 423-975-9884 and via fax at 423-975-6678.

Location: 107 E Myrtle Ave, Johnson City, TN, 37601-4631
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1265452650
Provider Name
Graybeal Orthopedic, Llc
Credential
Provider Entity Type
Organization
Address
107 E Myrtle Ave, Johnson City, TN, 37601-4631
Phone Number
423-975-9884
Fax Number
423-975-6678
Provider Enumeration Date
07/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1452173 05 TN
003035088 01 TN BCBS OF TN
institution
Provider Business Practice Location Address Details
Address
107 E Myrtle Ave
City
Johnson City
State
Tennessee
Zip
37601-4631
Phone Number
423-975-9884
Fax Number
423-975-6678
person
Provider Business Mailing Address Details
Address
107 E Myrtle Ave
City
Johnson City
State
Tennessee
Zip
37601-4631
Phone Number
423-975-9884
Fax Number
423-975-6678
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
()
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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