Individual
WESLEY ALLEN GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
363 SOUTHCREST CIR STE 202, SOUTHAVEN, MS 38671-4737
(662) 536-1944
(662) 536-1947
Mailing address
350 N HUMPHREYS BLVD, MEMPHIS, TN 38120-2177
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
906770
MS
Other
Enumeration date
10/28/2024
Last updated
12/03/2024
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