Gray, Woodrow Wilson
Gray, Woodrow Wilson is an sole proprietor health care provider with primary practice located at 840 Pine St Suite 910, Macon GA 31201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Gray, Woodrow Wilson can be contacted via phone (478) 742-0059.Contact Information
Primary practice address
840 Pine St Suite 910
Macon GA 31201
Phone: (478) 742-0059
Fax: (478) 746-3086
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 026284 | Georgia |
Profile Details
| NPI number | 1275582272 |
|---|---|
| LBN Legal business name | Gray, Woodrow Wilson |
| Credentials | MD PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 8th, 2006 |
| Last updated | Mar 8th, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275582272 | NPPES |
| Georgia | MEDICAID | 00292938C |
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