Gray, Samuel

Gray, Samuel is an individual health care provider with primary practice located at 46090 Lake Center Plz Ste 204 , Sterling VA 20165-5878. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Gray, Samuel can be contacted via phone (703) 539-2036.

Contact Information

Primary practice address
46090 Lake Center Plz Ste 204 Sterling VA 20165-5878
Phone: (703) 539-2036
Fax: (703) 563-2716
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 0103301267 Virginia

Profile Details

NPI number 1184088486
LBN Legal business name Gray, Samuel
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2016
Last updated Jun 26th, 2019 - about 5 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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