Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Clarence Edward Gray Jr.

Individual provider Prosthetic/Orthotic Supplier · NPI 1154580405

Mr. Clarence Edward Gray Jr. is a Prosthetic/Orthotic Supplier in McDonough, Georgia. Practices as a sole proprietor. Registered with an NPI since 2008.

In the registry since
2008

Practice location Address checks out

275 Courtlyn Way
McDonough, GA 30252-6997
Phone: (678) 234-2082
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X

Record details

NPI number1154580405
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 3, 2008
Last updated in NPPESJune 3, 2008

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