Gray, James A

Gray, James A is an individual health care provider with primary practice located at 108 Medical Center Blvd Suite G-50, Fayetteville TN 37334-2741. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gray, James A can be contacted via phone (931) 438-4111.

Contact Information

Primary practice address
108 Medical Center Blvd Suite G-50 Fayetteville TN 37334-2741
Fax: (866) 258-0817
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 31859 Tennessee

Profile Details

NPI number 1497869259
LBN Legal business name Gray, James A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2006
Last updated Dec 6th, 2018 - about 7 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 1497869259 NPPES
Alabama Other 89009847 BCBS AL
Alabama MEDICAID 3850808 BCBS AL
Alabama Other 4015743 BCBS AL

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