Individual
JESSICA GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 W EVANS ST STE 102, FLORENCE, SC 29501-3388
(843) 253-0435
Mailing address
1001 W EVANS ST STE 102, FLORENCE, SC 29501-3388
(843) 253-0435
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HTP1068
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HTP1068
SCDHEC
SC
Enumeration date
07/08/2019
Last updated
11/27/2023
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