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Contact Information

ANTHONY GRAY
1306 KANAWHA BLVD E
CHARLESTON, WV25301
 Phone: 304-353-0319
 Fax: 304-353-0204
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse First Assistant

163WR0006X
Indicates primary specialty

NPI Profile & details for ANTHONY GRAY · (Male)

NPI # 1649780768
Status Active
Credentials
Entity Individual
Enumeration date 10/03/2017
Last updated 10/03/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • WV License # 50932
Hospital affiliation(s) Not Available
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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