Individual
BRIANA GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1375 E KING AVE STE B, KINGSLAND, GA 31548
(912) 882-2910
(912) 882-4529
Mailing address
4205 BELFORT RD STE 4015, JACKSONVILLE, FL 32216-3623
(904) 296-5691
(904) 450-6401
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
081040
GA
207Q00000X
Family Medicine Physician
ME136742
FL
Other
Enumeration date
06/17/2015
Last updated
08/02/2018
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