MEDICARE: DR. LESLIE C 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	174400000X	Specialist	040083	GA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	070014922	OTHER	GA	RAILROAD MEDICARE

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	:	1720082084
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LESLIE C GRAY M.D.

Provider Business Mailing Address
First Line	:	9900 MEDLOCK BRIDGE RD
Second Line	:
City	:	DULUTH
State	:	GA
Zip	:	30097-2017
Country	:	US
Telephone Number	:	770-497-0699
Fax Number	:	770-497-0388

Provider Business Practice Location Address
First Line	:	9900 MEDLOCK BRIDGE RD
Second Line	:
City	:	DULUTH
State	:	GA
Zip	:	30097-2017
Country	:	US
Telephone Number	:	770-497-0699
Fax Number	:	770-497-0388

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

Provider Enumeration Date	:	06/02/2005
Last Update Date	:	06/13/2019

Similar Medicare Providers

1174510036 — MS. LISA M FOREMAN NP-C
Practice Location Address:

9900 MEDLOCK BRIDGE RD
DULUTH, GA
30097-2017

Practice Phone: 770-497-0699
Practice Fax: 770-497-0388

1295800803 — DERMATOLOGY CENTER OF ATLANTA
Practice Location Address:

9900 MEDLOCK BRIDGE RD
DULUTH, GA
30097-2017

Practice Phone: 770-497-0699
Practice Fax: 770-497-0388

1205013141 — KRISTIN HENDREN MAGEE M.D.
Practice Location Address:

9900 MEDLOCK BRIDGE RD
DULUTH, GA
30097-2017

Practice Phone: 770-497-0699
Practice Fax: 770-497-0388

1376848549 — MRS. NATHINA SCARLETT MELTON PA-C
Practice Location Address:

9900 MEDLOCK BRIDGE RD
DULUTH, GA
30097-2017

Practice Phone: 770-497-0699
Practice Fax: 770-497-0388

1306709555 — SIDNEY S THIMM LPCC
Practice Location Address:

120 W 2ND ST
DULUTH, MN
55802-2017

Practice Phone: 218-728-4491
Practice Fax: 218-728-4404

1386764355 — SHELLY L SMART MSW, LICSW
Practice Location Address:

120 W 2ND ST
DULUTH, MN
55802-2017

Practice Phone: 218-728-4491
Practice Fax:

Directions to “ DR. LESLIE C GRAY M.D.” 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 © 2007-2025 (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.