Individual
GRAY C. BUCK III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2700 10TH AVE S, SUITE 403, BIRMINGHAM, AL 35205-1200
(205) 933-7946
(205) 930-2779
Mailing address
2700 10TH AVE S, SUITE 403, BIRMINGHAM, AL 35205-1200
(205) 933-7946
(205) 930-2779
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
00012612
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009949225
—
AL
01
—
582517165
TAX ID
AL
Enumeration date
09/06/2005
Last updated
02/01/2010
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