Individual
DR. JONATHAN M GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., FACC
Contact information
Practice address
1414 GLEASONS LANDING DR, SAINT HELENA ISLAND, SC 29920-3814
(843) 838-4208
(843) 838-3779
Mailing address
1414 GLEASONS LANDING DR, SAINT HELENA ISLAND, SC 29920-3814
(843) 838-4208
(843) 838-3779
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
21611
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP0624
—
SC
Enumeration date
08/23/2005
Last updated
11/10/2009
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