person
Mary Lee Gregory, MD/PHD
Neurology with Special Qualifications in Child Neurology Physician in Columbia, South Carolina
NPI 1376710970

Mary Lee Gregory is a Neurology with Special Qualifications in Child Neurology Physician based in Atlanta, SC and is specialized in Neurology with Special Qualifications in Child Neurology. Mary Lee Gregory practices in Columbia, SC and has the professional credentials of MD/PHD. The NPI Number for Mary Lee Gregory is 1376710970 and holds a License No. 074718 (South Carolina).

The current practice location address for Mary Lee Gregory is 9 Richland Medical Park Dr Ste 110, Columbia, SC and can be reached out via phone at 803-434-7961 and via fax at 803-758-0134. You can also correspond with Mary Lee Gregory through the mailing address at PO BOX 743904, ATLANTA, GA - 30374-3904 (mailing address contact number: 803-296-7320).

Location: 9 Richland Medical Park Dr Ste 110, Columbia, SC, 30374-3904
person
Provider Profile Details
NPI Number
1376710970
Provider Name
Mary Lee Gregory
Credential
MD/PHD
Provider Entity Type
Individual
Gender
Female
Address
9 Richland Medical Park Dr Ste 110, Columbia, SC, 30374-3904
Phone Number
803-434-7961
Fax Number
803-758-0134
Provider Enumeration Date
05/13/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GA1803 05 SC
institution
Provider Business Practice Location Address Details
Address
9 Richland Medical Park Dr Ste 110
City
State
Zip
29203-6859
Phone Number
803-434-7961
Fax Number
803-758-0134
person
Provider Business Mailing Address Details
Address
Po Box 743904
City
State
Zip
30374-3904
Phone Number
803-296-7320
Fax Number
803-296-7330
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology with Special Qualifications in Child Neurology
Taxonomy
License No.
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Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
074718 (Georgia)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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