Individual
CAMILLE MARIE MCINTOSH-GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1430 FIVE FORKS TRICKUM RD, SUITE 210, LAWRENCEVILLE, GA 30044-8182
(678) 377-1738
Mailing address
10700 MEDLOCK BRIDGE RD, SUITE 105, DULUTH, GA 30097-8456
(770) 623-0105
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT009283
GA
Other
Enumeration date
07/09/2008
Last updated
10/14/2008
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