Individual
DR. JACK GIBSON GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
135 TAMERLANE, PEACHTREE CITY, GA 30269-2700
(404) 771-4665
Mailing address
135 TAMERLANE, PEACHTREE CITY, GA 30269-2700
(404) 771-4665
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
072904
GA
Other
Enumeration date
06/23/2009
Last updated
08/04/2015
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