Individual
PATRICK HAMPTON GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
103 HUNT DRIVE, DUNN, NC 28334
(910) 892-0200
(910) 892-0204
Mailing address
103 HUNT DRIVE, DUNN, NC 28334
(910) 892-0200
(910) 892-0204
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
27683
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
206760F
INDIVIDUAL MEDICARE PTAN
NC
01
—
2312457
GROUP MEDICARE PTAN
NC
01
—
27683
LICEN#
NC
01
—
36842
GROUP BCBS
—
05
—
890260E
—
NC
05
—
8936842
—
NC
Enumeration date
08/08/2006
Last updated
06/25/2014
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