Martin, Paul Gray

Martin, Paul Gray is an individual health care provider with primary practice located at 145 Kimel Park Dr Suite 100, Winston Salem NC 27103-6983. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Martin, Paul Gray can be contacted via phone (336) 768-6347.

Contact Information

Primary practice address
145 Kimel Park Dr Suite 100 Winston Salem NC 27103-6983
Fax: (336) 760-9393
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 0000-21823 North Carolina

Profile Details

NPI number 1124044987
LBN Legal business name Martin, Paul Gray
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Mar 4th, 2011 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124044987 NPPES
North Carolina MEDICAID 8954267
North Carolina Other P00276057

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