Individual
JOHN WILLIAM GRAY III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
116 OLD JERICHO RD, BEAUFORT, SC 29902-5119
(843) 524-0255
Mailing address
116 OLD JERICHO RD, PO BOX 4037, BEAUFORT, SC 29903
(843) 524-0255
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6693
SC
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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