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

Trayce Gray

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1790625143

Trayce Gray is a Student in an Organized Health Care Education/Training Program in Marietta, Georgia. Licensed in Georgia. Registered with an NPI since 2026.

Licensed in
GA
In the registry since
2026

Practice location Address checks out

677 Church St NE
Marietta, GA 30060-1101
Phone: (409) 434-2804
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (GA)

Record details

NPI number1790625143
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 28, 2026
Last updated in NPPESJune 4, 2026
Certification dateJune 4, 2026
Mailing address677 Church St Ne, Marietta, GA 30060-1101

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