Individual
MISS FAITH MICHELLE GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3993 LAWRENCEVILLE HWY NW, SUITE 115, LILBURN, GA 30047-2897
(770) 806-8710
(770) 806-0564
Mailing address
PO BOX 308, LILBURN, GA 30048-0308
(770) 806-8710
(770) 806-0564
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036165
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000675135F
—
GA
Enumeration date
07/07/2006
Last updated
07/08/2007
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