Individual
DR. ANGELA B GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
300 CAMPEN RD, SUITE A, BEAUFORT, NC 28516-1597
(252) 838-8822
Mailing address
300 CAMPEN RD, BEAUFORT, NC 28516-1597
(252) 838-8822
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1577
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0917G
BCBSNC INDIVIDUAL NUMBER
NC
05
—
890917G
—
NC
Enumeration date
05/31/2006
Last updated
12/03/2016
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