Individual
THOMAS G GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
907 GOOSE CREEK RD, SUITE A03, FISHERSVILLE, VA 22939-2302
(540) 213-8832
(540) 213-5500
Mailing address
PO BOX 388, FISHERSVILLE, VA 22939-0388
(540) 932-4629
(540) 932-5875
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101057587
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005853524
—
VA
01
—
146628
SOUTHERN HEALTH
VA
01
—
2180533
FIRST HEALTH
VA
01
—
285564
ANTHEM
VA
01
—
41812
SENTARA
VA
01
—
5853524
VA PREMIER
VA
01
—
700011404
CIGNA
VA
Enumeration date
02/07/2006
Last updated
03/17/2010
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