Individual
CHRISTA LYNN GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 873-9533
(919) 873-9821
Mailing address
1109 COWPER DR, RALEIGH, NC 27608-2230
(919) 609-2832
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
200601829
NC
207L00000X
Anesthesiology Physician
A82099
CA
208VP0000X
Pain Medicine Physician
A82099
CA
208VP0014X
Interventional Pain Medicine Physician
A82099
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A820990
BLUE SHIELD
CA
01
—
144M3
BCBC
NC
01
—
1460033
CIGNA
NC
01
—
194940
MEDCOST
NC
05
—
5905906
—
NC
01
—
809441
PARTNERS
NC
01
—
P00393298
RAILRAOD-MEDICARE
NC
Enumeration date
05/18/2006
Last updated
04/06/2021
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