Individual
MR. CHARLES M GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5863 RENNINGER ROAD, NEW FRANKLIN, OH 44319
(330) 212-8757
Mailing address
5863 RENNINGER RD, NEW FRANKLIN, OH 44319
(330) 212-8757
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
—
OH
3747P1801X
Personal Care Attendant
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7716529
—
OH
Enumeration date
10/22/2020
Last updated
10/22/2020
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