Doctor Name: | AARON M GRAY |
NPI Number: | 1154754109 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.P.T. |
License Number: | PT011170 |
Business Practice Address: | 540 Lake Center Pkwy Suite 107 Cumming, GA - 300407727 |
Business Phone Number: | 7702053939 |
Business Fax Number: | 7702054994 |
Mailing Address: | 540 Lake Center Pkwy, Suite 107 CUMMING |
State: | GA |
Postal Code: | 300407727 |
Phone Number: | 7702053939 |
Fax Number: | 7702054994 |
NPI Enumeration Date: | 08/13/2013 |
NPI Last Update Date: | 08/13/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | PT011170 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |