NPI 1033365473
Shawna Dee Grayham, STATELICENSE
Practice location
- Address
- 1609 W Main St, Russellville, AR 72801-2719
- Phone
- (479) 967-7538
- Fax
- (479) 968-9077
Registered specialties
Hearing Instrument Specialist
Primary
Registry record
- NPI
- 1033365473
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 18 Aug 2008
- Record last updated
- 17 Dec 2009
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.