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Individual

NATHAN A GRAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11808 KINGSTON PIKE STE 160, KNOXVILLE, TN 37934-3838
(865) 966-3940
(865) 966-6914
Mailing address
1275 DICK LONAS RD UNIT 101, KNOXVILLE, TN 37909-1383
(865) 584-4747
(865) 584-1363

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36905
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3882745
TN
01
P00225134
RR MEDICARE PIN
TN
Enumeration date
06/20/2006
Last updated
04/27/2020
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