Gracy, John A
Gracy, John A is an sole proprietor health care provider with primary practice located at 7011 Shallowford Rd Suite 106, Chattanooga TN 37421-6727. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Gracy, John A can be contacted via phone (423) 826-8585.Contact Information
Primary practice address
7011 Shallowford Rd Suite 106
Chattanooga TN 37421-6727
Phone: (423) 826-8585
Fax: (423) 826-8588
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 27446 | Tennessee |
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 034145 | Georgia |
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 0101271210 | Virginia |
Profile Details
NPI number | 1477546885 |
---|---|
LBN Legal business name | Gracy, John A |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 31st, 2005 |
Last updated | Dec 11th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1477546885 | NPPES |
Georgia | MEDICAID | 00470115C |
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