Gray, Thomas L

Gray, Thomas L is an individual health care provider with primary practice located at 7705 Poplar Avenue, Suite 240 Professional Bldg. B, Germantown TN 38138. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Gray, Thomas L can be contacted via phone (901) 791-9800.

Contact Information

Primary practice address
7705 Poplar Avenue, Suite 240 Professional Bldg. B Germantown TN 38138
Phone: (901) 791-9800
Fax: (901) 791-9801
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD011103 Tennessee
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X R3349 Arkansas

Profile Details

NPI number 1245316637
LBN Legal business name Gray, Thomas L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2006
Last updated Dec 6th, 2010 - about 16 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 1245316637 NPPES
Mississippi MEDICAID 0121792
Mississippi Other 7440190
Mississippi MEDICAID 9015197
Mississippi Other 84653
Mississippi MEDICAID 102019001
Mississippi MEDICAID 3190533
Mississippi Other 5312713
Mississippi Other 0089362

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