Individual
DR. JOHN MICHAEL GRAYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
316 CALHOUN ST, CHARLESTON, SC 29401-1113
(843) 789-1620
(843) 724-2440
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(843) 789-1620
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
8736
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
087364
—
SC
01
—
P00930478
RAILROAD MEDICARE ID-RSFPN
SC
Enumeration date
04/25/2006
Last updated
10/19/2015
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