Individual
DR. CLARK ANTHONY GRAY
Active
Individual
DR. CLARK ANTHONY GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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