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Individual

WOODROW WILSON GRAY JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD PHD

Contact information

Practice address
840 PINE ST, SUITE 910, MACON, GA 31201
(478) 742-0059
(478) 746-3086
Mailing address
840 PINE ST, SUITE 910, MACON, GA 31201
(478) 742-0059
(478) 746-3086

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
026284
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00292938C
GA
Enumeration date
05/08/2006
Last updated
03/08/2010
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