NPI 1023264876
Eleasha R Gray, CFNP
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
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.