| NPI | 1720008311 |
|---|---|
| Former Legal Business Name | EDWIN R GRAY MD |
| Entity Type | Organization |
| Authorized Contact | EDWIN RONALD GRAY Employee 256-424-5875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: AL 4241) |
| Additional Taxonomies | 208D00000X General Practice (Licence: AL 4241) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2012-09-19 |