ANTHONY GRADY

JOHNSON CITY, TN
NPI1700318524
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Y00000X Otolaryngology
(Licence: TN  64473)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2017-03-30
Last Update Date2022-06-07
Business Address
ANTHONY GRADY
2340 KNOB CREEK RD STE 704
JOHNSON CITY, TN 37604-2977
Phone number: 423-929-9101
Mailing Address
ANTHONY GRADY
2340 KNOB CREEK RD STE 704
JOHNSON CITY, TN 37604-2977
Phone number: 423-929-9101