Organization
W. WILSON GRAY JR., M.D.PHD.P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WOODROW WILSON GRAY JR. MD.,PHD. (PHYSICIAN)
(478) 742-0059
Entity
Organization
Contact information
Practice address
840 PINE ST, SUITE 910, MACON, GA 31201-2100
(478) 742-0059
(478) 746-3086
Mailing address
840 PINE ST, SUITE 910, MACON, GA 31201-2100
(478) 742-0059
(478) 746-3086
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00292938C
—
GA
Enumeration date
04/03/2009
Last updated
04/03/2009
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