Individual
KEVIN G GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
31 PHYSICIANS DR, JACKSON, TN 38305-2071
(731) 664-0103
(731) 984-7272
Mailing address
31 PHYSICIANS DR, JACKSON, TN 38305-2071
(731) 664-0103
(731) 984-7272
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD019750
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3058468
—
TN
Enumeration date
04/19/2007
Last updated
05/07/2012
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