Individual
DURIEL DONNELL GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
304 SHORTER AVE NW, ROME, GA 30165-4290
(706) 291-3700
(706) 291-8712
Mailing address
420 E 2ND AVE, SUITE 103, ROME, GA 30161-3209
(706) 509-3000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
47474
TN
207Q00000X
Family Medicine Physician
Primary
71075
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003141358A
—
GA
05
—
1523716
—
TN
Enumeration date
06/07/2007
Last updated
02/03/2014
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