George Thompson Gray III D.O.

NPI 1023072105 - Emergency Medicine - 207P00000X

NPI Details
NPI 1023072105
Gender Male
Enumeration Date 04/14/2006
Last Updated 06/19/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
1400 BRADEN ST
EMERGENCY DEPT
JACKSONVILLE AR, 72076-3721, US
Phone (501) 985-7000
Fax
Business Location
PO BOX 3925
SHREVEPORT LA, 71133-3925, US
Phone (800) 684-0052
Fax (405) 844-1794
Toxanomy
Taxonomy Code 207P00000X
License State Arkansas
License Number R-3735
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According to our database, Dr. George Thompson Gray III D.O. NPI is 1023072105, taxonomy code is 207P00000X and license number is R-3735, license state is located at Arkansas. George Thompson Gray III D.O. physically located at 1400 Braden St, Jacksonville AR, 72076-3721. NPI Number George Thompson Gray III D.O. has the Individual type.

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1023072105 NPI number is provided on an as is basis without warranty of any kind. 1023072105 is maintained by the National Plan & Provider Enumeration System. The contents of George Thompson Gray III D.O. are for informational purposes only.