Individual
JAMES A GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
108 MEDICAL CENTER BLVD, SUITE G-50, FAYETTEVILLE, TN 37334-2741
(931) 438-4111
(866) 258-0817
Mailing address
108 MEDICAL CENTER BLVD, # G50, FAYETTEVILLE, TN 37334-2741
(931) 438-4111
(866) 258-0817
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31859
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3850808
—
TN
01
—
4015743
BCBS TN
TN
01
—
89009847
BCBS AL
AL
Enumeration date
08/18/2006
Last updated
12/06/2018
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