Gray, David J
Gray, David J is an sole proprietor health care provider with primary practice located at 6491 Peachtree Industrial Blvd , Atlanta GA 30360-2100. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Gray, David J can be contacted via phone (770) 689-1858.Contact Information
Primary practice address
6491 Peachtree Industrial Blvd
Atlanta GA 30360-2100
Phone: (770) 689-1858
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | 25672 | Alabama |
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | 282282 | New York |
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | 23405 | Mississippi |
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | 87355 | Georgia |
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | 2017001968 | Missouri |
Profile Details
| NPI number | 1568444305 |
|---|---|
| LBN Legal business name | Gray, David J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 17th, 2005 |
| Last updated | Jun 12th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568444305 | NPPES |
| Mississippi | MEDICAID | 08176712 | |
| Mississippi | MEDICAID | 51519686 |
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