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Organization
DR. GABRIEL C. FORNARI JR. INC.
Active
Organization
DR. GABRIEL C. FORNARI JR. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GABRIEL FORNARI JR. D.O. (OWNER)
(843) 706-2255
Entity
Organization
Contact information
Practice address
132 BLUFFTON RD, BLUFFTON, SC 29910-6212
(843) 706-2255
Mailing address
132 BLUFFTON RD, BLUFFTON, SC 29910-6212
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0493
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004934
—
SC
Enumeration date
08/06/2008
Last updated
05/07/2009
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