Organization
SPINE & SPORTS MEDICINE CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR GRAY M.D. (PHYSICIAN)
(662) 842-4919
Entity
Organization
Contact information
Practice address
218 S THOMAS ST, SUITE 110, TUPELO, MS 38801-5330
(662) 842-4919
(662) 842-9140
Mailing address
PO BOX 2439, SUITE 110, TUPELO, MS 38803-2439
(662) 842-4919
(662) 842-9140
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
15561
MS
Other
Enumeration date
07/23/2006
Last updated
02/18/2014
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