Gray, Leslie C

Gray, Leslie C is an individual health care provider with primary practice located at 9900 Medlock Bridge Rd , Duluth GA 30097-2017. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Gray, Leslie C can be contacted via phone (770) 497-0699.

Contact Information

Primary practice address
9900 Medlock Bridge Rd Duluth GA 30097-2017
Phone: (770) 497-0699
Fax: (770) 497-0388
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 040083 Georgia

Profile Details

NPI number 1720082084
LBN Legal business name Gray, Leslie C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2005
Last updated Jun 13th, 2019 - about 7 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 1720082084 NPPES
Georgia MEDICAID 00757325E
Georgia Other 070014922

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