Provider Demographics
NPI:1225784820
Name:GRAY, CHRISTOPHER CLIFFORD (CSFA)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:CLIFFORD
Last Name:GRAY
Suffix:
Gender:M
Credentials:CSFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 ALEXANDER DR APT 514
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-3713
Mailing Address - Country:US
Mailing Address - Phone:305-849-0021
Mailing Address - Fax:
Practice Address - Street 1:10 ALEXANDER DR APT 514
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-3713
Practice Address - Country:US
Practice Address - Phone:305-849-0021
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-23
Last Update Date:2022-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171491246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant