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1225266745
JACK GIBSON GRAY
PEACHTREE CITY, GA
NPI
1225266745
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080N0001X Pediatrics Neonatal-Perinatal Medicine
(Licence: GA 072904)
Enumeration Date
2009-06-23
Last Update Date
2015-08-04
Business Address
DR. JACK GIBSON GRAY D.O.
135 TAMERLANE
PEACHTREE CITY, GA 30269-2700
Phone number: 404-771-4665
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Mailing Address
DR. JACK GIBSON GRAY D.O.
135 TAMERLANE
PEACHTREE CITY, GA 30269-2700
Phone number: 404-771-4665
Copy
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