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MR. CLARENCE EDWARD GRAY JR.
NPI 1154580405
Prosthetic/Orthotic Supplier in Mcdonough, GA

Active since June 03, 2008
275 COURTLYN WAY, MCDONOUGH, GA 30252(678) 234-2082 Get Directions Write a Review

NPPES record last updated: June 3, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Clarence Edward Gray Jr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. CLARENCE EDWARD GRAY JR. (NPI 1154580405) is an individual prosthetic/orthotic supplier provider in Mcdonough, Georgia and active in the NPI registry since June 2008.

NPPES Registry Identity

NPI1154580405
Entity TypeIndividualMale
Primary Taxonomy335E00000X
Provider Legal NameMR. CLARENCE EDWARD GRAY JR.
Location Address275 COURTLYN WAYMcdonough, GA 30252-6997
Mailing Address275 Courtlyn WayMcdonough, GA 30252-6997
Phone(678) 234-2082
Sole ProprietorYes
Enumeration DateJune 3, 2008
✔ NPI 1154580405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
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.
275 COURTLYN WAY, Mcdonough, GA 30252
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clarence Gray's NPI number?

The NPI number for Clarence Gray is 1154580405. It was assigned to this individual provider in the NPPES registry on June 3, 2008.

Where is Clarence Gray located?

Clarence Gray practices at 275 Courtlyn Way, Mcdonough, GA 30252. The listed phone number is (678) 234-2082.

What is Clarence Gray's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for Clarence Gray was last updated on June 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.