Gray, Christine K

Gray, Christine K is an individual health care provider with primary practice located at 17124 Highway 72 W , Waterloo SC 29384-5144. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Gray, Christine K can be contacted via phone (864) 393-1020.

Contact Information

Primary practice address
17124 Highway 72 W Waterloo SC 29384-5144
Phone: (864) 393-1020
Fax: (864) 568-3807
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 14952 Mississippi
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 82320 South Carolina

Profile Details

NPI number 1114965936
LBN Legal business name Gray, Christine K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Jun 2nd, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114965936 NPPES
Mississippi MEDICAID 00121295
Mississippi MEDICAID 823201

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