Individual
TERESA LYNN GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
47 FISHERMAN LN, GREENVILLE, SC 29615-5013
(855) 390-6568
Mailing address
219 CRAIGO CREEK CT, FOUNTAIN INN, SC 29644-9230
(618) 727-3274
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
56097
SC
Other
Enumeration date
10/30/2024
Last updated
10/30/2024
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