Individual
MR. GUS MICHAEL GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPSS
Contact information
Practice address
2043 MEDICAL PARK DR, NEWBERRY, SC 29108-2249
(803) 276-8000
(803) 276-6669
Mailing address
110 VINCENT PLACE DR, NEWBERRY, SC 29108-2376
(803) 276-8000
(803) 276-6669
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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