Gray, Duriel Donnell

Gray, Duriel Donnell is an individual health care provider with primary practice located at 304 Shorter Ave Nw , Rome GA 30165-4290. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gray, Duriel Donnell can be contacted via phone (706) 291-3700.

Contact Information

Primary practice address

304 Shorter Ave Nw Rome GA 30165-4290

Phone: (706) 291-3700

Fax: (706) 291-8712

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Allopathic & Osteopathic Physicians / Family Medicine	207Q00000X	47474	Tennessee
Allopathic & Osteopathic Physicians / Family Medicine	207Q00000X	71075	Georgia

Profile Details

NPI number	1619170701
LBN Legal business name	Gray, Duriel Donnell
Credentials	Doctor of Medicine (MD)
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Jun 7th, 2007
Last updated	Feb 3rd, 2014 - about 12 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

State	Type	Number	Issuer
All States	NPI	1619170701	NPPES
Georgia	MEDICAID	003141358A
Georgia	MEDICAID	1523716

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