Individual
GRAY BARNES PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1304 W BOBO NEWSOM HWY, CAROLINA PINES REGIONAL MEDICAL CENTER, HARTSVILLE, SC 29550-4710
(843) 339-4608
Mailing address
PO BOX 749306, ATLANTA, GA 30374-9306
(843) 871-3277
(843) 871-3360
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2461
SC
Other
Enumeration date
03/10/2016
Last updated
11/06/2024
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