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:
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Health care specialties

SpecialtyCodeLicense #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 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477546885 NPPES
Georgia MEDICAID 00470115C

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