Individual
DR. CLARK ANTHONY GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22720 BUCKSVILLE RD, MCCALLA, AL 35111
(205) 481-8640
Mailing address
PO BOX 11407, BIRMINGHAM, AL 35246-0777
(205) 481-7670
(205) 481-7573
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
00024898
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009941477
—
AL
01
—
051539186
BLUE CROSS
AL
01
—
721608375
MEDICARE COMPLETE
AL
01
—
I32233
SENIORS FIRST
AL
Enumeration date
10/02/2006
Last updated
11/09/2012
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