Individual
DANA GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11015 ELLENTON ST, BARNWELL, SC 29812-7307
(803) 541-1190
Mailing address
11015 ELLENTON ST, BARNWELL, SC 29812-7307
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
217597
SC
Other
Enumeration date
01/15/2016
Last updated
01/15/2016
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