NPI 1215699111

Jason Scott Gray, RD

Practitioner Registered Dietitian Kernersville, NC

Practice location

Address: 500 Pineview Dr STE 205, Kernersville, NC 27284-3814
Phone: (336) 329-3295
Fax: (336) 355-5204
Mailing address: PO Box 604050, Charlotte, NC 28260-4050

Registered specialties (2)

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence L005641 (NC)

Other Dietitian, Registered providers in North Carolina →

Registered Dietitian

Dietary & Nutritional Service Providers Taxonomy 133V00000X

Registry record

NPI: 1215699111
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Oct 2021
Record last updated: 19 Apr 2022

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.