| Doctor Name: | MRS. JULIE ROACH GRAY |
| NPI Number: | 1336368307 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | N.P. |
| License Number: | 0000012667 |
| Business Practice Address: | 6350 West Andrew Johnson Highway Talbott, TN - 37877 |
| Business Phone Number: | 4237142200 |
| Business Fax Number: | 4235860614 |
| Mailing Address: | 4050 Rutledge Pike, BLAINE |
| State: | TN |
| Postal Code: | 377095006 |
| Phone Number: | 8658285092 |
| Fax Number: | |
| NPI Enumeration Date: | 04/25/2007 |
| NPI Last Update Date: | 12/29/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | 0000012667 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |