Individual
MS. TIFFANY RADFORD GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2131 S 17TH ST, WILMINGTON, NC 28401
(910) 343-7000
Mailing address
6211 WRIGHTSVILLE AVE APT 121, WILMINGTON, NC 28403-3861
(252) 241-2087
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
082167
NC
Other
Enumeration date
07/15/2009
Last updated
03/17/2021
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