Individual
MRS. EARNESTINE B GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
23 WARREN ST SE, ATLANTA, GA 30317-2201
(404) 370-7474
(404) 370-7475
Mailing address
23 WARREN ST SE, ATLANTA, GA 30317-2201
(404) 370-7474
(404) 370-7475
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN044329
GA
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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