Individual
MRS. JULIE ROACH GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
6350 WEST ANDREW JOHNSON HIGHWAY, TALBOTT, TN 37877
(423) 714-2200
(423) 586-0614
Mailing address
4050 RUTLEDGE PIKE, BLAINE, TN 37709-5006
(865) 828-5092
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
0000012667
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1521656
—
TN
Enumeration date
04/25/2007
Last updated
09/30/2020
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