Gray, Donna

Gray, Donna is an individual health care provider with primary practice located at 1262 Oliver St Suite B, Fayetteville NC 28304-4449. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Gray, Donna can be contacted via phone (910) 615-4801.

Contact Information

Primary practice address
1262 Oliver St Suite B Fayetteville NC 28304-4449
Fax: (910) 615-5406
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 200201252 North Carolina

Profile Details

NPI number 1780686105
LBN Legal business name Gray, Donna
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Feb 11th, 2014 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780686105 NPPES
North Carolina MEDICAID 89132PP

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