| Doctor Name: | TERRY GRAYBEAL |
| NPI Number: | 1104922681 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | C.P.O. |
| License Number: | |
| Business Practice Address: | 504 Justis Dr Greeneville, TN - 377454287 |
| Business Phone Number: | 4236382670 |
| Business Fax Number: | 4236396592 |
| Mailing Address: | 504 Justis Dr, GREENEVILLE |
| State: | TN |
| Postal Code: | 377454287 |
| Phone Number: | 4236382670 |
| Fax Number: | 4236396592 |
| NPI Enumeration Date: | 09/15/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1744P3200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | Prosthetics Case Management |
| Taxonomy Definition: | |