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NPI Code Detail

MEDICARE: BRADY MCCALL GREER

MEDICARE: BRADY MCCALL GREER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1224ZE0001XEnvironmental Modification Occupational Therapy Assistant

General Provider Information

NPI Number : 1417699703
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRADY MCCALL GREER
Provider Business Mailing Address
First Line : 2600 SIDONIA RD
Second Line :
City : SHARON
State : TN
Zip : 38255-3012
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1105 S SUNSWEPT ST
Second Line :
City : UNION CITY
State : TN
Zip : 38261-4370
Country : US
Telephone Number : 731-885-6400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2022
Last Update Date : 04/08/2022

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Directions to “ BRADY MCCALL GREER ” Practice Location

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