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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