Individual
MIKEL GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
500 RAY C HUNT DR FL 3, CHARLOTTESVILLE, VA 22903-2981
(434) 924-2224
(434) 982-3652
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
0024079837
VA
363L00000X
Nurse Practitioner
Primary
0024079837
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007781555
—
VA
Enumeration date
03/19/2007
Last updated
03/08/2019
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