Individual provider · Type 1 NPI

Clarence Edward Gray Jr.

Prosthetic/Orthotic Supplier · Mcdonough, GA

NPI number 1154580405 Active

Practice location

275 Courtlyn Way
Mcdonough, GA 30252-6997

Specialties and licenses

TaxonomyCodeLicense
Prosthetic/Orthotic Supplier Primary 335E00000XNone listed

Prosthetic/Orthotic Supplier: 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.

Other prosthetic/orthotic supplier providers in Mcdonough

See all in Mcdonough →

About NPI 1154580405

Clarence Edward Gray Jr.'s National Provider Identifier is 1154580405, issued on Jun 3, 2008. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Mcdonough, GA. The record was last updated on Jun 3, 2008.