| NPI | 1396092508 |
|---|---|
| Doing Business As | GRAYSON FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | NICOLE LACKEY DILLON President 304-752-9290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WV 21324) |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2022-08-18 |