MEDICARE: DR. JAMES RONALD GRAY M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0001X	Radiation Oncology Physician	25331	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841219938
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES RONALD GRAY M.D.

Provider Business Mailing Address
First Line	:	PO BOX 440261
Second Line	:	RADIATION ONCOLOGY
City	:	NASHVILLE
State	:	TN
Zip	:	37244-0261
Country	:	US
Telephone Number	:	615-329-0570
Fax Number	:

Provider Business Practice Location Address
First Line	:	2410 PATTERSON ST
Second Line	:	RADIATION ONCOLOGY
City	:	NASHVILLE
State	:	TN
Zip	:	37203-1551
Country	:	US
Telephone Number	:	615-342-4850
Fax Number	:	615-342-4901

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2006
Last Update Date	:	06/07/2012

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