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Individual

DR. GRAY AKOEGBE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6001 PROFESSIONAL PKWY STE 2080, DOUGLASVILLE, GA 30134-5632
(678) 715-5080
Mailing address
6001 PROFESSIONAL PKWY STE 2080, DOUGLASVILLE, GA 30134-5632
(678) 715-5080

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125-062764
IL
207RC0000X
Cardiovascular Disease Physician
4301109203
MI
207RC0000X
Cardiovascular Disease Physician
Primary
82164
GA

Other

Enumeration date
06/14/2013
Last updated
12/19/2019
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