Debra A. Grayson, D.o., Inc. | |
4677 E Main St Columbus OH 43213-3160 | |
(614) 575-6270 | |
(614) 575-6282 |
Full Name | Debra A. Grayson, D.o., Inc. |
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Speciality | Family Medicine |
Location | 4677 E Main St, Columbus, Ohio |
Authorized Official Name and Position | Tricia L Smith (OFFICE MANAGER) |
Authorized Official Contact | 6145756270 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Debra A. Grayson, D.o., Inc. 4677 E. Main Street Columbus OH 43213-3160 Ph: (614) 575-6270 | Debra A. Grayson, D.o., Inc. 4677 E Main St Columbus OH 43213-3160 Ph: (614) 575-6270 |
NPI Number | 1932381753 |
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Provider Enumeration Date | 12/04/2007 |
Last Update Date | 02/13/2008 |
Medicare PECOS PAC ID | 9032142153 |
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Medicare Enrollment ID | O20100121000378 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932381753 | NPI | - | NPPES |
0716354 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 34-004095-G (Ohio) | Primary |
Provider Name | Debra A Grayson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1356333785 PECOS PAC ID: 4486677184 Enrollment ID: I20060109000727 |
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