Rob Gray is a Physician Assistant in Mcdonough, Georgia. Rob Gray practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Rob Gray is 1790895340. The last update date is 2008-04-09.
Rob Gray's current location address is 50 Kelly Rd, Mcdonough, Georgia. You can contact this provider via phone number 7709571887 and fax number 7709576864. The mailing address for Rob Gray is 50 Kelly Rd, Mcdonough, Georgia. To know further, please read the information below!
Provider Profile Detail
Provider Name | Rob Gray |
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Address | 50 Kelly Rd, Mcdonough, Georgia |
Phone Number | 7709571887 |
Fax Number | 7709576864 |
Sole Proprietor | N |
Credentials | PA-C |
NPI Number Detail
NPI Number | 1790895340 |
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Provider Enumeration Date | 2006-08-30 |
Last Updated Date | 2008-04-09 |
Provider Mailing Address Detail
Address | 50 Kelly Rd |
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City | Mcdonough |
State | Georgia (GA) |
Post Code | 302536012 |
Phone Number | 7709571887 |
Fax Number | 7709576864 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | 3460 |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
10033126 | GA | AMERIGROUP | |
1153770002 | GA | PEACHSTATE | |
319993 | GA | WELLCARE |
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What is the unique 10-digit identification code issued to Rob Gray by the Centers for Medicare & Medicaid Services?
The Rob Gray has been assigned the NPI (National Provider Identifier) 1790895340 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Rob Gray's physical address?
The Rob Gray is physically located at 50 Kelly Rd, in the city of Mcdonough, GA, with the postal code 302536012.
What is the Rob Gray's specialty and taxonomy code?
The Rob Gray's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
When did the Rob Gray receive its 1790895340?
The Rob Gray was issued its 1790895340 on 2006-08-30, which is the date when the organization was assigned this unique identifier.
When was the Rob Gray's information last updated?
The Rob Gray's information was last updated on 2008-04-09.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY