person
Mr. Clarence Edward Gray JR.
Prosthetic/Orthotic Supplier in Mcdonough, Georgia
NPI 1154580405

Clarence Edward Gray JR. is a Prosthetic/Orthotic Supplier based in Mcdonough, GA. Clarence Edward Gray JR. practices in Mcdonough, GA. The NPI Number for Clarence Edward Gray JR. is 1154580405 and holds a License No. (Georgia).

The current practice location address for Clarence Edward Gray JR. is 275 Courtlyn Way, Mcdonough, GA and can be reached out via phone at 678-234-2082.

Location: 275 Courtlyn Way, Mcdonough, GA, 30252-6997
person
Provider Profile Details
NPI Number
1154580405
Provider Name
Clarence Edward Gray JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
275 Courtlyn Way, Mcdonough, GA, 30252-6997
Phone Number
678-234-2082
Fax Number
Provider Enumeration Date
06/03/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
275 Courtlyn Way
City
State
Zip
30252-6997
Phone Number
678-234-2082
Fax Number
person
Provider Business Mailing Address Details
Address
275 Courtlyn Way
City
State
Zip
30252-6997
Phone Number
678-234-2082
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
License No.
()
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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