# JASON R. GREGORY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1992778377
- **Gender:** Man
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 901 | SC | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 901 | SC | — |

## Other

- **Enumeration date:** 02/08/2006
- **Last updated:** 10/22/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 009010 | — | SC |
| 01 | — | 576008010002 | TRICARE | SC |
| 01 | — | 576008010007 | BLUE CHOICE | SC |
| 01 | — | 576008010010 | BCBS | SC |
| 01 | — | 6958751 | CIGNA | SC |
| 01 | — | 7535722 | AETNA | SC |