Ms Carol Gray, PHYSIOLOGST,HCOACH is a
Psychologist - Exercise & Sports based in Roxboro, North Carolina. Ms Carol Gray is licensed to practice in * (Not Available) (license number ) and her current practice location is
910 N Madison Blvd, Roxboro, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(336) 322-8000.
NPI number for Ms Carol Gray is 1962952010 and her current mailing address is 6687 Burlington Rd, Hurdle Mills, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1962952010.
Healthcare Provider's Profile
| Full Name | Ms Carol Gray |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - Exercise & Sports |
|---|
| Location | 910 N Madison Blvd, Roxboro, North Carolina |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1962952010
- Provider Enumeration Date: 10/12/2016
- Last Update Date: 10/12/2016
Medical Identifiers
Medical identifiers for Ms Carol Gray such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962952010 | NPI | - | NPPES |
| T49071 | Other | | AMERICAN COUNCIL ON EXERCISE |
| BS DEGREE | Other | NC | APPALCHIAN STATE UNIVERSITY |
| 14488787 | Other | NC | AMERICAN RED CROSS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TE1100X | Psychologist - Exercise & Sports | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Carol Gray is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Carol Gray, PHYSIOLOGST,HCOACH
6687 Burlington Rd,
Hurdle Mills, NC 27541-9319
Ph: (336) 747-0528 | Ms Carol Gray, PHYSIOLOGST,HCOACH
910 N Madison Blvd,
Roxboro, NC 27573-4573
Ph: (336) 322-8000 |
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