Provider Demographics
NPI:1801462973
Name:BARBEE, GRADY CORTEZ (DAC)
Entity type:Individual
Prefix:DR
First Name:GRADY CORTEZ
Middle Name:
Last Name:BARBEE
Suffix:
Gender:M
Credentials:DAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6677
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-6677
Mailing Address - Country:US
Mailing Address - Phone:336-869-0136
Mailing Address - Fax:336-464-2786
Practice Address - Street 1:1627 CONNECTICUT AVE NW STE 1
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20009-1370
Practice Address - Country:US
Practice Address - Phone:202-300-8428
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-31
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCAC500205171100000X
MDU02183171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist