Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 01078739A | IN |
N | 208600000X | Surgeon | 01078739A | IN |
Y | 2086S0120X | Pediatric Surgery | 01078739A | IN |
NPI | 1194081760 |
---|---|
Provider Name | Dr. Britney Lynne Grayson |
First Address | Indianapolis, IN 46219-4959 |
Second Address | Indianapolis, IN 46256-4673 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2012 |
Last Update Date | 08/12/2020 |