| Gray Family Practice Clinic, Pllc | |
|
1019 East Main Melbourne AR 72556 | |
| (870) 368-4729 | |
| Not Available |
| Full Name | Gray Family Practice Clinic, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 1019 East Main, Melbourne, Arkansas |
| Authorized Official Name and Position | Adam Christopher Gray (OWNER) |
| Authorized Official Contact | 8703684729 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gray Family Practice Clinic, Pllc Po Box 1130 Melbourne AR 72556-1130 Ph: (870) 368-4729 | Gray Family Practice Clinic, Pllc 1019 East Main Melbourne AR 72556 Ph: (870) 368-4729 |
| NPI Number | 1558629170 |
|---|---|
| Provider Enumeration Date | 05/02/2012 |
| Last Update Date | 05/02/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558629170 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | E-2487 (Arkansas) | Primary |
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