Phillip Gray, M.D.
Family Medicine in Calhoun, GA. Individual provider (NPI-1).
NPI number1093786386
StatusActive
Last updated in NPPESDec 17, 2018
Details
- NPI
- 1093786386
- Entity type
- Individual (NPI-1)
- Name
- Phillip Gray
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 27, 2006
- Last updated
- Dec 17, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 033340 | GA | Yes |
Practice location
105 Willowbrook Way SeCalhoun, GA 30701-1404
Phone 706-625-6999 · Fax 706-625-6990
Mailing address
Po Box 12938C/O Clinic Management
Calhoun, GA 30703
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