Gray, Leslie B.

Gray, Leslie B. is an individual health care provider with primary practice located at 1800 12Th St , Meridian MS 39301-4158. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Gray, Leslie B. can be contacted via phone (601) 484-6700.

Contact Information

Primary practice address
1800 12Th St Meridian MS 39301-4158
Phone: (601) 484-6700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 15657 Mississippi
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 15657 Mississippi

Profile Details

NPI number 1295727766
LBN Legal business name Gray, Leslie B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2005
Last updated May 12th, 2020 - about 4 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 1295727766 NPPES
Alabama Other 009809700 MEDICAID OF AL
Alabama Other 020038463 MEDICAID OF AL
Alabama MEDICAID 00119529 MEDICAID OF AL

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