Grady Lynn Jeter is a Specialist in San Jose, California. Grady Lynn Jeter practices all healthcare services and medical treatments related to Specialist. The NPI Number for Grady Lynn Jeter is 1760584510. The last update date is 2010-11-04.
Grady Lynn Jeter's current location address is 2430 Samaritan Dr, San Jose, California. You can contact this provider via phone number 4085594343 and fax number 4083716387. The mailing address for Grady Lynn Jeter is 2430 Samaritan Dr, San Jose, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Grady Lynn Jeter |
|---|---|
| Address | 2430 Samaritan Dr, San Jose, California |
| Phone Number | 4085594343 |
| Fax Number | 4083716387 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1760584510 |
|---|---|
| Provider Enumeration Date | 2006-09-02 |
| Last Updated Date | 2010-11-04 |
Provider Mailing Address Detail
| Address | 2430 Samaritan Dr |
|---|---|
| City | San Jose |
| State | California (CA) |
| Post Code | 951243907 |
| Phone Number | 4085594343 |
| Fax Number | 4083716387 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | C30088 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Post Comment/ Review Below
What is the unique identifier code issued to Grady Lynn Jeter by the Centers for Medicare & Medicaid Services (CMS)?
The Grady Lynn Jeter has been assigned the NPI (National Provider Identifier) 1760584510. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Grady Lynn Jeter is physically located?
The Grady Lynn Jeter is physically situated at the following address: 2430 Samaritan Dr, San Jose, CA, 951243907.
What is Grady Lynn Jeter's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Grady Lynn Jeter's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.
When was the Grady Lynn Jeter's 1760584510 issued?
The Grady Lynn Jeter's 1760584510 was issued on 2006-09-02.
As of what date were the details pertaining to Grady Lynn Jeter last refreshed?
The information related to the Grady Lynn Jeter, including its address, specialty, and other relevant details, was last updated on 2010-11-04.