Provider Demographics
NPI:1073615068
Name:GRAYBEAL, FRANK R JR (M D)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:R
Last Name:GRAYBEAL
Suffix:JR
Gender:M
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 LONGVIEW DR
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:NC
Mailing Address - Zip Code:27850-9468
Mailing Address - Country:US
Mailing Address - Phone:919-612-0326
Mailing Address - Fax:252-692-2231
Practice Address - Street 1:107 HARBOUR WATCH CT
Practice Address - Street 2:
Practice Address - City:BELHAVEN
Practice Address - State:NC
Practice Address - Zip Code:27810-9296
Practice Address - Country:US
Practice Address - Phone:252-944-0253
Practice Address - Fax:252-944-0253
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2019-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0000323722085R0202X
NC323722085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC32372OtherNC LICENSE
NC8936824Medicaid
2176424AMedicare ID - Type Unspecified