# GRAY FAMILY HEALTHCARE PC

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

## Provider details

- **NPI number:** 1750392627
- **Authorized official:** BRUCE D BOGGS MD (PRESIDENT)
- **Authorized official phone:** (423) 477-0600

## Contact information

- **Practice address:** 203 GRAY COMMONS CIR, GRAY, TN 37615-5407
- **Practice address phone:** (423) 477-0600
- **Practice address fax:** (423) 477-0611
- **Mailing address:** 203 GRAY COMMONS CIR, GRAY, TN 37615-5407
- **Mailing address phone:** (423) 477-0600
- **Mailing address fax:** (423) 477-0611

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/10/2006
- **Last updated:** 03/27/2008