Dr Christine K Gray, MD is a
Pediatrics - Adolescent Medicine physician based in Waterloo, South Carolina. Dr Christine K Gray is licensed to practice in South Carolina (license number 82320) and her current practice location is 17124 Highway 72 W, Waterloo, South Carolina. She can be reached at her office (for appointments etc.) via phone at
(864) 393-1020.
NPI number for Dr Christine K Gray is 1114965936 and her current mailing address is 17124 Highway 72 W, Waterloo, South Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114965936.
Physician's Profile
Full Name | Dr Christine K Gray |
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Gender | Female |
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Speciality | Pediatrics - Adolescent Medicine |
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Location | 17124 Highway 72 W, Waterloo, South Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1114965936
- Provider Enumeration Date: 06/03/2006
- Last Update Date: 06/02/2023
Medical Identifiers
Medical identifiers for Dr Christine K Gray such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114965936 | NPI | - | NPPES |
00121295 | Medicaid | MS | |
823201 | Medicaid | SC | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2080A0000X | Pediatrics - Adolescent Medicine | 14952 (Mississippi) | Secondary |
2080A0000X | Pediatrics - Adolescent Medicine | 82320 (South Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Christine K Gray is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Christine K Gray, MD 17124 Highway 72 W, Waterloo, SC 29384-5144 Ph: (864) 393-1020 | Dr Christine K Gray, MD 17124 Highway 72 W, Waterloo, SC 29384-5144 Ph: (864) 393-1020 |
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