Individual
SAMANTHA WRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
96 JONATHAN LUCAS ST STE 812, CHARLESTON, SC 29425-8900
(843) 792-5006
Mailing address
169 ASHLEY AVE RM 202, CHARLESTON, SC 29425-8905
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
LL90173
SC
Other
Enumeration date
06/22/2023
Last updated
06/22/2023
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