Angela Gray
Specialist, Prosthetics Case Management in Birmingham, AL. Individual provider (NPI-1).
NPI number1992234355
StatusActive
Last updated in NPPESJun 8, 2017
Details
- NPI
- 1992234355
- Entity type
- Individual (NPI-1)
- Name
- Ms. Angela Gray
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 8, 2017
- Last updated
- Jun 8, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1744P3200X | Specialist, Prosthetics Case Management | 17020904 | AL | Yes |
Practice location
3941 Amanda CourtBirmingham, AL 35215
Phone 205-305-5841
Mailing address
3941 Amanda CtCenter Point, AL 35215-2625
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