National Provider Identifier Database

MARK W GRAY
Other Service Providers

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.


Contact Information

MARK W GRAY
306 AIRPORT DR
MONCKS CORNER, SC29461-2629
Phone: 843-761-8272
Fax: 843-719-3025
Website:
Specialty Taxonomy Code
* Other Service Providers 175T00000X

* Indicates primary specialty

NPI Profile & details for MARK W GRAY

NPI Number 1730653932
Credentials
Entity Individual
Enumeration date 01/22/2019
Last updated 01/22/2019 - About 7 years ago
Sole proprietor1 No
Identifiers
  • SC Medicaid: 1972574101
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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