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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TEDRICK GRAYSON

Active

TEDRICK GRAYSON is a Independent Duty Corpsman healthcare provider located in WEST MONROE, Louisiana. NPI 1023553815 is currently active in the NPPES registry. Verify at CMS.

Independent Duty Corpsman · WEST MONROE, LA

Registration Details

NPI Number
1023553815
Provider Type
Individual
Gender
Male
NPI Issued
Jan 3, 2017 (9.6406704879447 yrs)
Last Updated
Jan 3, 2017

Practice Information

Address
152 TOSTON RD
WEST MONROE, LA, 712922235
Browse LA providers · Browse ZIP 71292
Phone
9072311416
Primary Specialty
Independent Duty Corpsman
1710I1002X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.