Individual
MR. LEVI BENJAMIN GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2525 DESALES AVE, CHATTANOOGA, TN 37404-1161
(423) 667-5783
(423) 495-6286
Mailing address
1949 GUNBARREL RD STE 206, CHATTANOOGA, TN 37421-7133
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
TC052
KY
363AS0400X
Surgical Physician Assistant
Primary
4371
TN
Other
Enumeration date
06/02/2021
Last updated
08/10/2023
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