Mrs. Carly J Gray, PA
Physician Assistant, Medical in Moyock, North Carolina
1174929095- Practice location
- 534 Caratoke Hwy, Moyock, NC 27958-8740
- Phone
- 252-435-6621
- Fax
- 252-435-2685
- Last updated
- November 19, 2020
Carly Jean Gray is a Physician Assistant, Medical based in Moyock, NC. Carly Jean Gray practices in Moyock, NC and has the professional credentials of PA. The NPI Number for Carly Jean Gray is 1174929095 and holds a License No. 0110004737 (VA). The current practice location address for Carly Jean Gray is 534 Caratoke Hwy, Moyock, NC 27958-8740 and can be reached out via phone at 252-435-6621 and via fax at 252-435-2685.
Provider Profile Details
- NPI Number
- 1174929095
- Provider Name
- Carly Jean Gray
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 534 Caratoke Hwy, Moyock, NC 27958-8740
- Phone Number
- 252-435-6621
- Fax Number
- 252-435-2685
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- No
- Other Names
- -- Carly J Smith, PA (Former Name)
- Provider Enumeration Date
- November 5, 2014
- Last Update Date
- November 19, 2020
- Certification Date
- November 19, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 534 Caratoke Hwy
Moyock, NC 27958-8740 - City
- Moyock
- State
- North Carolina
- Zip
- 27958-8740
- Phone Number
- 252-435-6621
- Fax Number
- 252-435-2685
Provider Business Mailing Address Details
- Address
- Po Box 11314
Belfast, ME 04915-4004 - City
- Belfast
- State
- ME
- Zip
- 04915-4004
- Phone Number
- 757-842-4481
- Fax Number
- 757-312-3135
License Information
- License Number (1)
- 0110004737
- License State (1)
- VA
- Taxonomy (1)
- Physician Assistant, Medical · 363AM0700X
- License Number (2)
- 0010-06904
- License State (2)
- NC
- Taxonomy (2)
- Physician Assistant, Medical · 363AM0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistant, Medical providers near Moyock, NC
View all Physician Assistant, Medical providers in Moyock →Frequently Asked Questions
What is the NPI number of Mrs. Carly J Gray, PA?
The NPI number of Mrs. Carly J Gray, PA is 1174929095. It was assigned on November 5, 2014 and is currently active in the NPPES registry.
What is the specialty of Mrs. Carly J Gray, PA?
Mrs. Carly J Gray, PA is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in VA under license number 0110004737.
Where does Mrs. Carly J Gray, PA practice?
The practice location is 534 Caratoke Hwy, Moyock, NC 27958-8740. The office can be reached at 252-435-6621 (phone) or 252-435-2685 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174929095 directly on the NPPES registry website.