Individual
KIMBERLY BIANCA GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10 MCCLENNAN BANKS DR, CHARLESTON, SC 29425-3411
(843) 792-2300
Mailing address
10 MCCLENNAN BANKS DR, CHARLESTON, SC 29401-1164
(843) 792-2300
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
MD93992
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2022
Last updated
06/12/2025
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