NPI 1730653932

Mark Wayne Gray

Practitioner Peer Specialist Moncks Corner, SC

Practice location

Address: 306 Airport Dr, Moncks Corner, SC 29461-2629
Phone: (843) 761-8272
Fax: (843) 719-3025

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

Other Peer Specialist providers in South Carolina →

Registry record

NPI: 1730653932
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Jan 2019
Record last updated: 22 Jan 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.