Individual
MS. ELEASHA R GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C-FNP
Contact information
Practice address
165 NORTH PARK TRAIL, STOCKBRIDGE, GA 30281-5086
(770) 506-1800
(770) 389-5947
Mailing address
165 NORTH PARK TRAIL, STOCKBRIDGE, GA 30281-5086
(770) 506-1800
(770) 389-5947
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN121625
GA
Other
Enumeration date
08/12/2008
Last updated
07/06/2012
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