Individual
JEREMY ROY GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1409 BALLENTINE DAIRY RD, FUQUAY VARINA, NC 27526-8323
(919) 740-1134
Mailing address
1409 BALLENTINE DAIRY RD, FUQUAY VARINA, NC 27526-8323
(919) 740-1134
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86289495
NC
Other
Enumeration date
09/20/2020
Last updated
09/20/2020
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