Search › North Carolina › 101YA0400X
Grady Blue
NPI 1518248137 · on the registry since 2011 · sole proprietor
Practice
- Address
- 39 Mar Joy Rd
Dunn, NC 28334 - Phone
- (910) 892-2279
- Fax
- (910) 892-3657
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-09-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina