DR. LESLIE C GRAY (NPI# 1720082084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720082084 |
Entity Type | Individual |
Full Name | DR. LESLIE C GRAY |
Credential | M.D. |
Practice Address |
9900 Medlock Bridge Rd Duluth GA 30097-2017 |
Practice Telephone | 7704970699 |
Practice Fax Number | 7704970388 |
Mailing Telephone | 7704970699 |
Mailing Fax Number | 7704970388 |
Enumeration Date | 2005-06-02 |
Last Update Date | 2019-06-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | 040083 | GA | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 00757325E | 05 | |
GA | RAILROAD MEDICARE | 070014922 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417495391 | Leslie A Gray | Counselor | 85 Fenton Ave, Laconia, NH 03246 | 2017-02-10 |
1699054619 | Leslie Ann Gray | Social Worker | 34950 Chardon Rd Bldg II Ste 210, Willoughby Hills, OH 44094-9162 | 2011-08-08 |
1366528069 | Leslie M Gray IIi | Chiropractor | 3011 Montebello Ter, Baltimore, MD 21214-3311 | 2006-10-27 |
1982158184 | Leslie Gray | Counselor | 1909 Cheker Sq, East Hazel Crest, IL 60429-1442 | 2016-08-05 |
1063820025 | Leslie Gray | Counselor | 1170a Fairgrove Church Rd, Hickory, NC 28602-9695 | 2014-07-23 |
1487900619 | Leslie Marie Gray | Counselor | 439 Sw Michigan St, Lake City, FL 32025-0440 | 2012-07-25 |
1851574982 | Leslie Ellen Gray | Occupational Therapist | 350 Montevue Ln, Frederick, MD 21702-8214 | 2007-12-12 |
1316093834 | Leslie Gray | Social Worker | 671 Hoes Ln, Piscataway, NJ 08854-5627 | 2007-01-26 |
1427104397 | Leslie Marie Gray | Counselor | 516 N 1st St, Yakima, WA 98901-2308 | 2007-01-25 |
1518977503 | Leslie J. Gray | Obstetrics & Gynecology | 5525 Grossmont Center Dr, La Mesa, CA 91942-3009 | 2006-08-09 |
Street Address |
9900 MEDLOCK BRIDGE RD |
City | DULUTH |
State | GA |
Zip Code | 30097-2017 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376848549 | Nathina Scarlett Melton | Physician Assistant | 9900 Medlock Bridge Rd, Duluth, GA 30097-2017 | 2011-01-20 |
1205013141 | Kristin Hendren Magee | Dermatology | 9900 Medlock Bridge Rd, Duluth, GA 30097-2017 | 2008-01-22 |
1295800803 | Dermatology Center of Atlanta | Specialist | 9900 Medlock Bridge Rd, Duluth, GA 30097-2017 | 2006-11-21 |
1174510036 | Lisa M Foreman | Nurse Practitioner | 9900 Medlock Bridge Rd, Duluth, GA 30097-2017 | 2005-10-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659986057 | Herman Medical Solutions, LLC | Internal Medicine | 10700 Medlock Bridge Road, Suite 207, Duluth, GA 30097 | 2020-09-11 |
1649808619 | Kirsty Amber Ramirez | Behavior Technician | 218 Premiere Pkwy #500, Duluth, GA 30097 | 2020-03-27 |
1386277820 | Cristina Madalina Niculas | Pharmacist | Kroger Pharmacy 476, 6555 Sugarloaf Parkway, Duluth, GA 30097 | 2020-02-12 |
1619514924 | Opesdei Health Solutions | Home Health Aide | 6615 Abbotts Bridge Road, 6615 Abbotts Bridge Road Unit 1111, Johns Creek, GA 30097 | 2019-12-05 |
1700422979 | Ria Alexander | Nurse Practitioner | 6300 Hospital Parkway Ste 300, Johns Creek, GA 30097 | 2019-11-22 |
1043867765 | Mosesal Zakia White | Nurse Practitioner | 10680 Medlock Bridge Rd #102, Johns Creek, GA 30097 | 2019-08-19 |
1982187068 | Lighthouse Clinical Counseling, LLC | Counselor | 3883 Rogers Bridge Road, Suite 601, Duluth, GA 30097 | 2018-09-13 |
1376025643 | Faithe Beanne Kimsey | Counselor | 3883 Rogers Bridge Road Nw, Suite 601, Duluth, GA 30097 | 2018-09-04 |
1306330303 | Denise Jackson | Prosthetist | 11720 Medlock Bridge Rd Ste 155, Johns Creek, GA 30097 | 2018-06-21 |
1407363328 | Berkeley Van Dyke | Physical Therapist | 6335 Hospital Pkwy Ste 316, Johns Creek, GA 30097 | 2017-12-30 |
Find all providers in zip 30097 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992327415 | Julie Baker | Specialist | 907 W Central Entrance, Duluth, MN 55811-5469 | 2020-05-07 |
1942510904 | Amanda Rose Kerola | Specialist | 2814 Minnesota Ave, Duluth, MN 55802-2526 | 2010-10-08 |
1639323827 | Elegant Touch Massage Therapy | Specialist | 2590 Peachtree Industrial Blvd Ste D, Duluth, GA 30097-3405 | 2008-11-14 |
1003089418 | Gwinnett Multi Specialty Group LLC | Specialist | 3840 Peachtree Industrial Boulevard, Duluth, GA 30096-4847 | 2008-04-07 |
1790954279 | Generations Health Care Initiative Inc | Specialist | 5 N 3rd Ave W, Suite 310, Duluth, MN 55802 | 2008-02-28 |
1912067877 | Barbara Joy Bergstrom | Specialist | 4505 W Superior St, Duluth, MN 55807-2728 | 2006-12-11 |
1851474506 | Heide's Mastectomy Services of Duluth. | Specialist | 701 1/2 North 6th Ave. East, Duluth, MN 55805-1333 | 2006-10-23 |
1447342241 | Advanced Prosthetics Inc | Specialist | 3540 Duluth Park Lane, Suite 230, Duluth, GA 30096 | 2006-09-29 |
1316960701 | Questar Duluth, Inc | Specialist | 1527 London Road, Duluth, MN 55812 | 2006-07-26 |
1932125820 | Northland Urology Asso. P.a. | Specialist | 1000 E 1st St Ste 306, Duluth, MN 55805-2297 | 2006-07-14 |
Find all providers in DULUTH |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.