Gregory, Mary Lee
Gregory, Mary Lee is an individual health care provider with primary practice located at 9 Richland Medical Park Dr Ste 110 , Columbia SC 29203-6859. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology is her primary health care specialty. Gregory, Mary Lee can be contacted via phone (803) 434-7961.Contact Information
Primary practice address
9 Richland Medical Park Dr Ste 110
Columbia SC 29203-6859
Phone: (803) 434-7961
Fax: (803) 758-0134
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology | 2084N0402X | 074718 | Georgia |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology | 2084N0402X | 81904 | South Carolina |
Profile Details
| NPI number | 1376710970 |
|---|---|
| LBN Legal business name | Gregory, Mary Lee |
| Credentials | M.D./PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 13th, 2008 |
| Last updated | Apr 28th, 2021 - about 4 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 | 1376710970 | NPPES |
| South Carolina | MEDICAID | GA1803 |
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