Individual
NATHANIEL GARRETT GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1801 SUNSET DR, INTERNAL MEDICINE CLINIC, COLUMBIA, SC 29203
(803) 434-4153
(803) 434-4160
Mailing address
PO BOX 63308, CHARLOTTE, NC 28263-3308
(866) 264-3435
(864) 987-1611
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LL36985
SC
2085R0202X
Diagnostic Radiology Physician
Primary
36985
SC
Other
Enumeration date
06/09/2014
Last updated
04/06/2020
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