GRAYSON JACKSON

MOUNT PLEASANT, SC
NPI1578157442
Former NameGRAYSON GRAINGER
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: SC  10570)
Enumeration Date2021-02-22
Last Update Date2021-12-07
Business Address
GRAYSON JACKSON PT
3040 HIGHWAY 17 BYP N STE A
MOUNT PLEASANT, SC 29466-9438
Phone number: 843-388-7667
Mailing Address
GRAYSON JACKSON PT
141 ATRIUM WAY
COLUMBIA, SC 29223-6301
Phone number: 843-388-7667
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