Organization
EDWARD J. GREY, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD GREY M.D. (PRESIDENT)
(304) 344-9480
Entity
Organization
Contact information
Practice address
3100 MACCORKLE AVE SE, SUITE 806, CHARLESTON, WV 25304-1223
(304) 344-9480
(304) 344-9481
Mailing address
PO BOX 890639, CHARLOTTE, NC 28289-0639
(216) 464-5160
(216) 464-5982
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0080405000
—
WV
Enumeration date
08/09/2005
Last updated
07/21/2022
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