Gray, Eleasha R
Gray, Eleasha R is an sole proprietor health care provider with primary practice located at 165 North Park Trail , Stockbridge GA 30281-5086. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gray, Eleasha R can be contacted via phone (770) 506-1800.Contact Information
Primary practice address
165 North Park Trail
Stockbridge GA 30281-5086
Phone: (770) 506-1800
Fax: (770) 389-5947
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN121625 | Georgia |
Profile Details
| NPI number | 1023264876 |
|---|---|
| LBN Legal business name | Gray, Eleasha R |
| Credentials | C-FNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 12th, 2008 |
| Last updated | Jul 6th, 2012 - about 12 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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