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Individual

DR. HARDY LAMAR GRAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
3362 GREYSTONE WAY, VALDOSTA, GA 31605-1096
(229) 242-0063
Mailing address
3362 GREYSTONE WAY, VALDOSTA, GA 31605-1096
(229) 242-0063

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN015176
GA

Other

Enumeration date
06/07/2016
Last updated
02/01/2019
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