Individual provider · Type 1 NPI

Paul Canniff Gray

Driver · Suffolk, VA

NPI number 1235765124 Active

Practice location

219 Berry Ridge Ln
Suffolk, VA 23435-3190

Call (757) 338-0353 Map

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XT60621503 (VA)

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

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About NPI 1235765124

Paul Canniff Gray's National Provider Identifier is 1235765124, issued on Mar 23, 2020. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Suffolk, VA. The record was last updated on Mar 23, 2020.