Individual
BETHANY C BRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2728 SUNSET BLVD STE 106, WEST COLUMBIA, SC 29169-4836
(803) 314-9760
(803) 314-9761
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
(803) 314-9760
(803) 314-9761
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
27983
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
279834
—
SC
Enumeration date
03/14/2007
Last updated
04/19/2023
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