Healthcare Provider Details

I. General information

NPI: 1023503612
Provider Name (Legal Business Name): DONNIE ARASTUS GAY
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2018
Last Update Date: 10/04/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9512 DORCHESTER RD STE 140
SUMMERVILLE SC
29485
US

IV. Provider business mailing address

800 CRESCENT CENTRE DR STE 300
FRANKLIN TN
37067-7285
US

V. Phone/Fax

Practice location:
  • Phone: 843-695-7970
  • Fax: 843-695-7971
Mailing address:
  • Phone: 615-373-1350
  • Fax: 615-221-9054

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number9277
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: