Individual
MR. CLARENCE EDWARD GRAY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
275 COURTLYN WAY, MCDONOUGH, GA 30252-6997
(678) 234-2082
Mailing address
275 COURTLYN WAY, MCDONOUGH, GA 30252-6997
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
06/03/2008
Last updated
06/03/2008
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