Individual
THOMAS L GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7705 POPLAR AVENUE, SUITE 240, PROFESSIONAL BLDG. B, GERMANTOWN, TN 38138
(901) 791-9800
(901) 791-9801
Mailing address
7705 POPLAR AVENUE, SUITE 240, PROFESSIONAL BLDG. B, GERMANTOWN, TN 38138
(901) 791-9800
(901) 791-9801
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD011103
TN
207V00000X
Obstetrics & Gynecology Physician
R3349
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0089362
BLUE CROSS BLUE SHIELD
—
05
—
0121792
—
MS
05
—
102019001
—
AR
05
—
3190533
—
TN
01
—
5312713
CIGNA
—
01
—
7440190
UNITED HEALTHCARE
—
01
—
84653
BLUE CROSS BLUE SHIELD
—
05
—
9015197
—
MS
Enumeration date
10/27/2006
Last updated
12/06/2010
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