Individual
SHANNON K. GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH,CDE
Contact information
Practice address
1594 FREEDOM BLVD, SUITE 102 B, FLORENCE, SC 29505-6046
(843) 674-2700
(843) 674-2729
Mailing address
1594 FREEDOM BLVD, SUITE 102 B, FLORENCE, SC 29505-6046
(843) 674-2700
(843) 674-2729
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
21410166
SC
183500000X
Pharmacist
9108
SC
Other
Enumeration date
12/15/2015
Last updated
12/16/2015
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