Organization
GRAY CHIROPRACTIC AND SPORTS ASSOCIATES, P.A.
Active
Organization
GRAY CHIROPRACTIC AND SPORTS ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAWRENCE DENNIS GRAY JR. D.C. (BUSINESS OWNER)
(336) 774-1624
Entity
Organization
Contact information
Practice address
223 HARPER ST, WINSTON SALEM, NC 27104-3849
(336) 774-1624
(336) 774-8744
Mailing address
223 HARPER ST, WINSTON SALEM, NC 27104-3849
(336) 774-1624
(336) 774-8744
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
2140
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0844M
BCBS
NC
01
—
11370
PARTNERS
NC
05
—
890844M
—
NC
01
—
A4613
MEDCOST
NC
Enumeration date
09/29/2006
Last updated
02/03/2009
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