Individual
MRS. CARLY JEAN GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
534 CARATOKE HWY, MOYOCK, NC 27958-8740
(252) 435-6621
(252) 435-2685
Mailing address
PO BOX 11314, BELFAST, ME 04915-4004
(757) 842-4481
(757) 312-3135
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0010-06904
NC
363AM0700X
Medical Physician Assistant
0110004737
VA
Other
Enumeration date
11/05/2014
Last updated
11/19/2020
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