Dr Jack Gibson Gray, DO | |
135 Tamerlane, Peachtree City, GA 30269-2700 | |
(404) 771-4665 | |
Not Available |
Full Name | Dr Jack Gibson Gray |
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Gender | Male |
Speciality | Pediatrics - Neonatal-perinatal Medicine |
Location | 135 Tamerlane, Peachtree City, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1225266745 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 072904 (Georgia) | Primary |
Entity Name | Pediatrix Medical Group Of Ga, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295827574 PECOS PAC ID: 7416927447 Enrollment ID: O20040728000431 |
Mailing Address | Practice Location Address |
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Dr Jack Gibson Gray, DO 135 Tamerlane, Peachtree City, GA 30269-2700 Ph: (404) 771-4665 | Dr Jack Gibson Gray, DO 135 Tamerlane, Peachtree City, GA 30269-2700 Ph: (404) 771-4665 |
Ann E Eggert, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 12 Eastbrook Bnd, Peachtree City, GA 30269 Phone: 770-487-3330 Fax: 770-487-7736 | |
Jerry M. Roberts, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4000 Shakerag Hl, Suite 201, Peachtree City, GA 30269 Phone: 770-486-7111 Fax: 770-486-7131 | |
Dr. Annamma Daniel, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 19 East Brook Bend, Suite 200, Peachtree City, GA 30269 Phone: 770-487-3330 Fax: 770-487-7736 | |
W Steen James, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 375 Highway 74 N, Peachtree City, GA 30269 Phone: 770-487-1519 Fax: 770-487-1574 | |
Dr. Andrew C Agwunobi, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 526 Crosstown Rd, Peachtree City, GA 30269 Phone: 770-692-1914 Fax: 770-692-1919 | |
Dr. Megan Elizabeth Almond, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 19 Eastbrook Bnd Ste 200, Peachtree City, GA 30269 Phone: 678-833-5199 Fax: 678-519-1159 |