Individual
GINNY GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
300 SINGLETON RIDGE RD, CONWAY, SC 29526-9142
(843) 347-1523
Mailing address
2021 WOODLAWN DR, CONWAY, SC 29526-7703
(843) 457-5841
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
19371
SC
Other
Enumeration date
03/30/2015
Last updated
03/30/2015
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