Individual
DR. CHRISTINE K GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
17124 HIGHWAY 72 W, WATERLOO, SC 29384-5144
(864) 393-1020
(864) 568-3807
Mailing address
17124 HIGHWAY 72 W, WATERLOO, SC 29384-5144
(864) 393-1020
(864) 568-3807
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
14952
MS
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
82320
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00121295
—
MS
05
—
823201
—
SC
Enumeration date
06/03/2006
Last updated
06/02/2023
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