Individual
DR. JORDAN HOLT GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5751 POCAHONTAS RD STE A, SUITE 5, BESSEMER, AL 35022-5478
(205) 477-4242
(205) 477-4243
Mailing address
5751 POCAHONTAS ROAD, SUITE A, BESSEMER, AL 35022-5478
(205) 477-4242
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
5360
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5360
LICENSE NUMBER
AL
Enumeration date
10/02/2006
Last updated
05/11/2016
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