Gray Family Medicine | |
10401 Old Georgetown Rd Ste 304 Bethesda MD 20814-1911 | |
(301) 843-8008 | |
Not Available |
Full Name | Gray Family Medicine |
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Speciality | Family Medicine |
Location | 10401 Old Georgetown Rd Ste 304, Bethesda, Maryland |
Authorized Official Name and Position | Claudia Jordan (OFFICE MANAGER) |
Authorized Official Contact | 2403729414 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Gray Family Medicine 10401 Old Georgetown Rd Ste 304 Bethesda MD 20814-1911 Ph: (301) 843-8008 | Gray Family Medicine 10401 Old Georgetown Rd Ste 304 Bethesda MD 20814-1911 Ph: (301) 843-8008 |
NPI Number | 1588339428 |
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Provider Enumeration Date | 08/12/2021 |
Last Update Date | 09/12/2022 |
Medicare PECOS PAC ID | 7517342678 |
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Medicare Enrollment ID | O20220912000017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588339428 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Kerri Gray |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1700880184 PECOS PAC ID: 0345378055 Enrollment ID: I20100517000252 |
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