# GRAY FAMILY PRACTICE CLINIC, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558629170
- **Authorized official:** DR. ADAM CHRISTOPHER GRAY M.D. (OWNER)
- **Authorized official phone:** (870) 368-4729

## Contact information

- **Practice address:** 1019 EAST MAIN, MELBOURNE, AR 72556
- **Practice address phone:** (870) 368-4729
- **Mailing address:** PO BOX 1130, MELBOURNE, AR 72556-1130
- **Mailing address phone:** (870) 368-4729

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | E-2487 | AR | Yes |

## Other

- **Enumeration date:** 05/02/2012
- **Last updated:** 05/02/2012