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Individual

DR. ENOCH KAZEEM GRAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6439 GARNERS FERRY RD, COLUMBIA, SC 29209-1638
(803) 776-4000
Mailing address
7074 GLENGARRY DR, COLUMBIA, SC 29209-3020
(614) 359-4710

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036.122290
IL
207R00000X
Internal Medicine Physician
35.089004
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3121197
OH
Enumeration date
04/18/2007
Last updated
01/27/2021
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