Organization
SUMTER PSYCHIATRY ASSOCIATES PA
Active
Other names
none
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AUSTON H. GRAY M.D. (PRESIDENT AND CEO)
(803) 236-3199
Entity
Organization
Contact information
Practice address
315 HAYNSWORTH ST, SUMTER, SC 29150-4005
(803) 236-3958
Mailing address
315 HAYNSWORTH ST, SUMTER, SC 29150-4005
(803) 236-3958
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3142
—
SC
Enumeration date
08/01/2006
Last updated
10/25/2022
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