MEDICARE: DR. GEORGE THOMPSON GRAY III D.O.

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	207Q00000X	Family Medicine Physician	R3735	AR
2	207P00000X	Emergency Medicine Physician	R-3735	AR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P01027353	OTHER		RAILROAD MCARE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023072105
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GEORGE THOMPSON GRAY III D.O.

Provider Business Mailing Address
First Line	:	PO BOX 3925
Second Line	:
City	:	SHREVEPORT
State	:	LA
Zip	:	71133-3925
Country	:	US
Telephone Number	:	800-684-0052
Fax Number	:	405-844-1794

Provider Business Practice Location Address
First Line	:	1400 BRADEN ST
Second Line	:	EMERGENCY DEPT
City	:	JACKSONVILLE
State	:	AR
Zip	:	72076-3721
Country	:	US
Telephone Number	:	501-985-7000
Fax Number	:

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

Provider Enumeration Date	:	04/14/2006
Last Update Date	:	06/19/2012

Similar Medicare Providers

1578841441 — SUZANNE ELIZABETH HIGGINS APRN
Practice Location Address:

1400 BRADEN ST
JACKSONVILLE, AR
72076-3721

Practice Phone: 501-241-1676
Practice Fax: 501-241-1427

1548993199 — KENNETH TIFFANY DO
Practice Location Address:

1400 BRADEN ST
JACKSONVILLE, AR
72076-3721

Practice Phone: 501-453-5000
Practice Fax:

1174509673 — PULASKI EMERGENCY GROUP LLC
Practice Location Address:

1400 BRADEN ST
JACKSONVILLE, AR
72076-3721

Practice Phone: 501-985-7000
Practice Fax:

1205899481 — DR. TIMOTHY A DILLER M.D.
Practice Location Address:

1400 BRADEN ST , EMERGENCY DEPT
JACKSONVILLE, AR
72076-3721

Practice Phone: 501-985-7000
Practice Fax:

1902862956 — SUNITA SUDHAKAR BONDE DO
Practice Location Address:

1400 BRADEN ST , ER DEPT
JACKSONVILLE, AR
72076-3721

Practice Phone: 501-985-7000
Practice Fax:

1386697480 — DR. BRIAN E MEYER MD
Practice Location Address:

1400 BRADEN ST
JACKSONVILLE, AR
72076-3721

Practice Phone: 501-221-3519
Practice Fax:

Directions to “ DR. GEORGE THOMPSON GRAY III D.O.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.