Gray, Linda Maria

Gray, Linda Maria is an individual health care provider with primary practice located at 1210 W Faris Rd , Greenville SC 29605-4444. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Gray, Linda Maria can be contacted via phone (864) 295-4410.

Contact Information

Primary practice address
1210 W Faris Rd Greenville SC 29605-4444
Phone: (864) 295-4410
Fax: (864) 269-1386
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 14653 South Carolina

Profile Details

NPI number 1912978750
LBN Legal business name Gray, Linda Maria
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Jan 25th, 2018 - about 6 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 1912978750 NPPES
South Carolina MEDICAID 146531
South Carolina Other P00817197

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