Individual
DOUGLAS SCOTT GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 577-5011
Mailing address
1461 SWAMP FOX LN, CHARLESTON, SC 29412-5321
(843) 408-3905
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
103550
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
19482
SC
Other
Enumeration date
04/13/2015
Last updated
07/12/2016
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