Gray, Melissa H

Gray, Melissa H is an individual health care provider with primary practice located at 2200 Crow Ln Ste 201 , Myrtle Beach SC 29577-1663. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Gray, Melissa H can be contacted via phone (843) 848-5000.

Contact Information

Primary practice address
2200 Crow Ln Ste 201 Myrtle Beach SC 29577-1663
Phone: (843) 848-5000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 8268 Massachusetts
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 3604 South Carolina

Profile Details

NPI number 1437109774
LBN Legal business name Gray, Melissa H
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Mar 12th, 2021 - about 3 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 1437109774 NPPES
South Carolina MEDICAID TH0869

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