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
Phone: (336) 276-1278
Fax: (336) 276-1516
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467407908 | NPPES |
| North Carolina | Other | 046WE | BLUE CROSS/BLUE SHIELD ID |
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