Gray, George Thompson

Gray, George Thompson is an individual health care provider with primary practice located at 1400 Braden St Emergency Dept, Jacksonville AR 72076-3721. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Gray, George Thompson can be contacted via phone (501) 985-7000.

Contact Information

Primary practice address
1400 Braden St Emergency Dept Jacksonville AR 72076-3721
Phone: (501) 985-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X R3735 Arkansas
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X R-3735 Arkansas

Profile Details

NPI number 1023072105
LBN Legal business name Gray, George Thompson
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Jun 19th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1023072105 NPPES
Other P01027353 RAILROAD MCARE
MEDICAID 113616003 RAILROAD MCARE

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