W. Wilson Gray Jr., M.D.Phd.P.C.

LBN: W. Wilson Gray Jr., M.D.Phd.P.C.
W. Wilson Gray Jr., M.D.Phd.P.C. is an health care organization with primary practice located at 840 Pine St Suite 910, Macon GA 31201-2100. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as the primary health care specialty. W. Wilson Gray Jr., M.D.Phd.P.C. can be contacted via phone (478) 742-0059, or through Gray, Woodrow Wilson via phone (478) 742-0059.

Contact Information

Primary practice address
840 Pine St Suite 910 Macon GA 31201-2100
Fax: (478) 746-3086
Website:
Authorized official contact:
Name: Gray, Woodrow Wilson MD.,PHD.

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X

Profile Details

NPI number 1114169299
LBN Legal business name W. Wilson Gray Jr., M.D.Phd.P.C.
DBA Doing business as
Authorized official Gray, Woodrow Wilson MD.,PHD.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 3rd, 2009
Last updated Apr 3rd, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114169299 NPPES
Georgia MEDICAID 00292938C

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