Gray, Jermaine E

Gray, Jermaine E is an individual health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as his primary health care specialty. Gray, Jermaine E can be contacted via phone (601) 984-5373.

Contact Information

Primary practice address
2500 N State St Jackson MS 39216-4500
Phone: (601) 984-5373
Fax: (601) 984-5476
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X MD473875 Pennsylvania

Profile Details

NPI number 1891878005
LBN Legal business name Gray, Jermaine E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2006
Last updated Sep 1st, 2021 - about 5 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 1891878005 NPPES
Mississippi MEDICAID 04358321
Mississippi Other 160000807
Mississippi Other 512I160025
Mississippi Other 512G700003
Mississippi Other 08103071

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