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NPI Code Detail

MEDICARE: DR. CLARE LAWRENCE GRAY M. D.

MEDICARE: DR. CLARE LAWRENCE 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
1207R00000XInternal Medicine Physician200001149NC

Other Identifiers

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

General Provider Information

NPI Number : 1780680090
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CLARE LAWRENCE GRAY M. D.
Provider Business Mailing Address
First Line : 810 FAIRGROVE CHURCH RD
Second Line :
City : HICKORY
State : NC
Zip : 28602-9617
Country : US
Telephone Number : 828-326-3809
Fax Number : 828-326-3371
Provider Business Practice Location Address
First Line : 810 FAIRGROVE CHURCH RD
Second Line :
City : HICKORY
State : NC
Zip : 28602-9617
Country : US
Telephone Number : 828-326-3809
Fax Number : 828-326-3371
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2005
Last Update Date : 02/09/2009

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