Individual provider · Type 1 NPI

Levi Benjamin Gray, PA

Surgical Physician Assistant · Chattanooga, TN

NPI number 1427624253 Active

Practice location

2525 Desales Ave
Chattanooga, TN 37404-1161

Fax (423) 495-6286

Mailing address

1949 Gunbarrel Rd Ste 206
Chattanooga, TN 37421-7133

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XTC052 (KY)
Surgical Physician Assistant Primary 363AS0400X4371 (TN)

Surgical Physician Assistant: Definition to come...

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About NPI 1427624253

Levi Benjamin Gray, PA's National Provider Identifier is 1427624253, issued on Jun 2, 2021. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Chattanooga, TN. The record was last updated on Aug 10, 2023.