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DR. SHAKETHA ACQUINETTA GRAY M.D NPI 1528309911


NPI Information

NPI: 1528309911
Provider Name: DR. SHAKETHA ACQUINETTA GRAY, M.D
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
1200 N MARTIN LUTHER KING JR DR
WINSTON SALEM, NC
ZIP 27101
Phone: (336) 713-9800
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DR. Shaketha Acquinetta Gray, M.D is a pediatrics in Winston Salem, NC. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Shaketha Acquinetta Gray, M.D NPI is 1528309911. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1200 N MARTIN LUTHER KING JR DR
WINSTON SALEM, NC
ZIP 27101-006
Phone: (336) 713-9800
Fax: (336) 713-9641

The enumeration date for this NPI number is 3/8/2013 and was last updated on 4/20/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080A0000XPediatricsAdolescent MedicineME136832FLORIDANo
2208000000XPediatrics2022-00459NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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