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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. CLARENCE EDWARD GRAY JR.

Active Sole Proprietor

MR. CLARENCE EDWARD GRAY JR. is a Prosthetic/Orthotic Supplier healthcare provider located in MCDONOUGH, Georgia. NPI 1154580405 is currently active in the NPPES registry. Verify at CMS.

Prosthetic/Orthotic Supplier · MCDONOUGH, GA

Registration Details

NPI Number
1154580405
Provider Type
Individual
Gender
Male
NPI Issued
Jun 3, 2008 (18.217516922841 yrs)
Last Updated
Jun 3, 2008
Sole Proprietor
Yes

Practice Information

Address
275 COURTLYN WAY
MCDONOUGH, GA, 302526997
Browse GA providers · Browse ZIP 30252
Phone
6782342082
Primary Specialty
Prosthetic/Orthotic Supplier
335E00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.