Individual
SHALAYA GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1790 PINEHURST VIEW DR, GRAYSON, GA 30017-7910
(404) 804-0741
Mailing address
1790 PINEHURST VIEW DR, GRAYSON, GA 30017-7910
(404) 804-0741
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
09/07/2023
Last updated
09/08/2023
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