Gray, Laura Ann

Gray, Laura Ann is an sole proprietor health care provider with primary practice located at 905 Garfield St , Tupelo MS 38801-5737. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is her primary health care specialty. Gray, Laura Ann can be contacted via phone (662) 842-9677.

Contact Information

Primary practice address
905 Garfield St Tupelo MS 38801-5737
Phone: (662) 842-9677
Fax: (662) 842-0309
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 15560 Mississippi
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 15560 Mississippi

Profile Details

NPI number 1790909067
LBN Legal business name Gray, Laura Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 11th, 2007
Last updated Mar 3rd, 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 1790909067 NPPES
Mississippi MEDICAID 0119451

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