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Individual

JASON SCOTT GRAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RD

Contact information

Practice address
500 PINEVIEW DR STE 205, KERNERSVILLE, NC 27284-3814
(336) 329-3295
(336) 355-5204
Mailing address
PO BOX 604050, CHARLOTTE, NC 28260-4050

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L005641
NC
133V00000X
Registered Dietitian

Other

Enumeration date
10/07/2021
Last updated
04/19/2022
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