Organization
GRAY FAMILY HEALTHCARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE D BOGGS MD (PRESIDENT)
(423) 477-0600
Entity
Organization
Contact information
Practice address
203 GRAY COMMONS CIR, GRAY, TN 37615-5407
(423) 477-0600
(423) 477-0611
Mailing address
203 GRAY COMMONS CIR, GRAY, TN 37615-5407
(423) 477-0600
(423) 477-0611
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3730953
—
TN
Enumeration date
08/10/2006
Last updated
03/27/2008
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