Marissa Lee Gray is a Medical in Raleigh, North Carolina. Marissa Lee Gray practices all healthcare services and medical treatments related to Medical. The NPI Number for Marissa Lee Gray is 1861589749. The last update date is 2007-07-08.
Marissa Lee Gray's current location address is 11001 Durant Rd, Raleigh, North Carolina. You can contact this provider via phone number 9197812500 and fax number 9197819247. The mailing address for Marissa Lee Gray is 11001 Durant Rd, Raleigh, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marissa Lee Gray |
|---|---|
| Address | 11001 Durant Rd, Raleigh, North Carolina |
| Phone Number | 9197812500 |
| Fax Number | 9197819247 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1861589749 |
|---|---|
| Provider Enumeration Date | 2006-10-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 11001 Durant Rd |
|---|---|
| City | Raleigh |
| State | North Carolina (NC) |
| Post Code | 276148390 |
| Phone Number | 9197812500 |
| Fax Number | 9197819247 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 103621 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Post Comment/ Review Below
What is the unique identifier code issued to Marissa Lee Gray by the Centers for Medicare & Medicaid Services (CMS)?
The Marissa Lee Gray has been assigned the NPI (National Provider Identifier) 1861589749. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Marissa Lee Gray's physical address?
The Marissa Lee Gray is physically located at 11001 Durant Rd, in the city of Raleigh, NC, with the postal code 276148390.
What is Marissa Lee Gray's specialized field of practice, and what is the corresponding taxonomy classification code?
The Marissa Lee Gray's area of specialization is Medical, and the corresponding taxonomy code that categorizes this field of practice is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1861589749 to Marissa Lee Gray?
The Centers for Medicare & Medicaid Services assigned the 1861589749 to Marissa Lee Gray on 2006-10-10.
As of what date was the information regarding Marissa Lee Gray, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Marissa Lee Gray, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.