Grayson, George Ira

Grayson, George Ira is an individual health care provider with primary practice located at 816 Independence Blvd Suite 3K, Virginia Beach VA 23455-6010. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Grayson, George Ira can be contacted via phone (757) 460-9200.

Contact Information

Primary practice address
816 Independence Blvd Suite 3K Virginia Beach VA 23455-6010
Fax: (757) 460-6553
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 0101031724 Virginia

Profile Details

NPI number 1285621060
LBN Legal business name Grayson, George Ira
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2005
Last updated Nov 4th, 2009 - about 15 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 1285621060 NPPES
Virginia MEDICAID 006099548

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