Gray, Jack Gibson

Gray, Jack Gibson is an individual health care provider with primary practice located at 135 Tamerlane , Peachtree City GA 30269-2700. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Gray, Jack Gibson can be contacted via phone (404) 771-4665.

Contact Information

Primary practice address
135 Tamerlane Peachtree City GA 30269-2700
Phone: (404) 771-4665
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 072904 Georgia

Profile Details

NPI number 1225266745
LBN Legal business name Gray, Jack Gibson
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2009
Last updated Aug 4th, 2015 - about 9 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.

Request for update

Popular Providers