Provider Demographics
NPI:1952566408
Name:CARY FRANKLIN GRAY, MD, APMC
Entity Type:Organization
Organization Name:CARY FRANKLIN GRAY, MD, APMC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LAURIN
Authorized Official - Middle Name:
Authorized Official - Last Name:GRUBBS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-646-4444
Mailing Address - Street 1:1850 GAUSE BLVD E
Mailing Address - Street 2:SUITE 202
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70461-5442
Mailing Address - Country:US
Mailing Address - Phone:985-646-4444
Mailing Address - Fax:985-646-4448
Practice Address - Street 1:1850 GAUSE BLVD E
Practice Address - Street 2:SUITE 202
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70461-5442
Practice Address - Country:US
Practice Address - Phone:985-646-4444
Practice Address - Fax:985-646-4448
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-24
Last Update Date:2008-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty