Organization
FAITH M. GRAY, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FAITH M GRAY MD (PRESIDENT/CEO)
(770) 806-8710
Entity
Organization
Contact information
Practice address
3993 LAWRENCEVILLE HWY NW, SUITE 115, LILBURN, GA 30047-2897
(770) 806-8710
(770) 806-0564
Mailing address
PO BOX 308, LILBURN, GA 30048-0308
(770) 806-8710
(770) 806-0564
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
036165
GA
Other
Enumeration date
05/14/2012
Last updated
05/14/2012
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