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NPI Code Detail

MEDICARE: AMY S GRAY FNP-C

MEDICARE: AMY S GRAY FNP-C
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
1363LF0000XFamily Nurse Practitioner203176GA

General Provider Information

NPI Number : 1952717183
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY S GRAY FNP-C
Provider Business Mailing Address
First Line : 742 CUMBERLAND CIR NE
Second Line :
City : ATLANTA
State : GA
Zip : 30306-3217
Country : US
Telephone Number : 404-229-5460
Fax Number :
Provider Business Practice Location Address
First Line : 1364 CLIFTON RD NE
Second Line :
City : ATLANTA
State : GA
Zip : 30322-1059
Country : US
Telephone Number : 404-712-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2014
Last Update Date : 12/11/2025

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Directions to “ AMY S GRAY FNP-C” Practice Location

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