Gray, Samuel Bemiss

Gray, Samuel Bemiss is an individual health care provider with primary practice located at 100 S Marshall St Ste 1 , Winston Salem NC 27101-2843. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Gray, Samuel Bemiss can be contacted via phone (336) 276-1278.

Contact Information

Primary practice address
100 S Marshall St Ste 1 Winston Salem NC 27101-2843
Fax: (336) 276-1516
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 3079 North Carolina

Profile Details

NPI number 1467407908
LBN Legal business name Gray, Samuel Bemiss
Credentials PSY.D
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Apr 4th, 2022 - about 3 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 1467407908 NPPES
North Carolina Other 046WE BLUE CROSS/BLUE SHIELD ID

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