Healthcare Provider Details

I. General information

NPI: 1710942834
Provider Name (Legal Business Name): GREGORY J DRAY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/20/2006
Last Update Date: 09/25/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

675 BILTMORE AVE SUITE E
ASHEVILLE NC
28803-2459
US

IV. Provider business mailing address

21 WILSON LN
FAIRVIEW NC
28730-9564
US

V. Phone/Fax

Practice location:
  • Phone: 828-254-5369
  • Fax: 828-254-5486
Mailing address:
  • Phone: 828-628-9300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number0243656
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number24006
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code2084P0805X
TaxonomyGeriatric Psychiatry Physician
License Number24006
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: