Gray, Roger C
Gray, Roger C is an sole proprietor health care provider with primary practice located at 21 Westminster Pl , Beaufort SC 29907-1967. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Gray, Roger C can be contacted via phone (843) 252-2164.Contact Information
Primary practice address
21 Westminster Pl
Beaufort SC 29907-1967
Phone: (843) 252-2164
Fax: (843) 525-0082
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 1906264 | South Carolina |
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 96 | South Carolina |
Profile Details
NPI number | 1427284124 |
---|---|
LBN Legal business name | Gray, Roger C |
Credentials | LAC, MAC, CCS, ADCII |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 8th, 2009 |
Last updated | Jan 8th, 2020 - about 5 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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