Gray Stanley, Tommi Michelle
Gray Stanley, Tommi Michelle is an sole proprietor health care provider with primary practice located at 1016 2Nd Ave N Ste 102 , North Myrtle Beach SC 29582-3287. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Gray Stanley, Tommi Michelle can be contacted via phone (843) 732-6090.Contact Information
Primary practice address
1016 2Nd Ave N Ste 102
North Myrtle Beach SC 29582-3287
Phone: (843) 732-6090
Fax: (843) 491-3573
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 3410 | South Carolina |
Profile Details
| NPI number | 1639336332 |
|---|---|
| LBN Legal business name | Gray Stanley, Tommi Michelle |
| Credentials | M.S. CCC-A |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 20th, 2008 |
| Last updated | Sep 14th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639336332 | NPPES |
| South Carolina | MEDICAID | SA1158 |
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