Fernando, Jay Grayson

Fernando, Jay Grayson is an sole proprietor health care provider with primary practice located at 7615 Colony Rd Ste 115, Charlotte NC 28226-5017. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Fernando, Jay Grayson can be contacted via phone (704) 626-6812.

Contact Information

Primary practice address
7615 Colony Rd Ste 115 Charlotte NC 28226-5017
Phone: (704) 626-6812
Fax: (704) 626-6824
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X 9901172 North Carolina
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 9901172 North Carolina
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X 9901172 North Carolina
Other Service Providers / Specialist 174400000X 9901172 North Carolina

Profile Details

NPI number 1750337325
LBN Legal business name Fernando, Jay Grayson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 25th, 2006
Last updated Jun 20th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750337325 NPPES
North Carolina MEDICAID 891235U

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