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Contact Information

CLARK A GRAY, MD
22720 BUCKSVILLE RD
MCCALLA, AL35111
 Phone: 205-481-8640
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for CLARK A GRAY · (Male)

NPI Number 1427141027
Status Active
Credentials MD
Entity Individual
Enumeration date 10/02/2006
Last updated 11/09/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • AL License # 00024898
  • AL Medicaid 009941477
  • AL Other 051539186 BLUE CROSS
  • AL Other 721608375 MEDICARE COMPLETE
  • AL Other I32233 SENIORS FIRST
Hospital affiliation(s)
  • MEDICAL WEST AN AFFILIATE OF UAB HEALTH SYSTEM - (Acute Care)
    995 9TH AVENUE SOUTHWEST
    BESSEMER, AL 35021
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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