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Individual

DR. GREGORY CLARK HABIG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-4405
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT217419
PA
207RG0100X
Gastroenterology Physician
Primary
93881
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MT217419
GRADUATE MEDICAL TRAINING LICENSE
PA
Enumeration date
05/13/2019
Last updated
03/08/2025
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