| Faith M. Gray, M.d., Inc. | |
|
3993 Lawrenceville Hwy Nw Suite 115 Lilburn GA 30047-2897 | |
| (770) 806-8710 | |
| (770) 806-0564 |
| Full Name | Faith M. Gray, M.d., Inc. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 3993 Lawrenceville Hwy Nw, Lilburn, Georgia |
| Authorized Official Name and Position | Faith M Gray (PRESIDENT/CEO) |
| Authorized Official Contact | 7708068710 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Faith M. Gray, M.d., Inc. Po Box 308 Lilburn GA 30048-0308 Ph: (770) 806-8710 | Faith M. Gray, M.d., Inc. 3993 Lawrenceville Hwy Nw Suite 115 Lilburn GA 30047-2897 Ph: (770) 806-8710 |
| NPI Number | 1114286945 |
|---|---|
| Provider Enumeration Date | 05/14/2012 |
| Last Update Date | 05/14/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114286945 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 036165 (Georgia) | Primary |
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