Whalio Doctors

NPI 1023264876

Eleasha R Gray, CFNP

Practitioner Family Nurse Practitioner Stockbridge, GA

Practice location

Address
165 North Park Trail, Stockbridge, GA 30281-5086
Phone
(770) 506-1800
Fax
(770) 389-5947

Registered specialties

Family Nurse Practitioner Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence RN121625 (GA)

Registry record

NPI
1023264876
Entity type
Individual
Sex (as registered)
Female
NPI issued
12 Aug 2008
Record last updated
6 Jul 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.