Individual
NICHOLE GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4604 SPOTSYLVANIA PKWY STE 340, FREDERICKSBURG, VA 22408-7767
(540) 200-8272
Mailing address
202 VICTORIA DR, RUTHER GLEN, VA 22546-1034
(301) 456-5078
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
0024191440
VA
Other
Enumeration date
10/09/2024
Last updated
11/01/2024
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