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Organization
GAILLARD & HINNANT FAMILY PRACTICE LLC
Active
Organization
GAILLARD & HINNANT FAMILY PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES LAWRENCE GAILLARD MD (OFFICER PRESIDENT)
(864) 226-6121
Entity
Organization
Contact information
Practice address
131 BUFORD AVE, ANDERSON, SC 29621
(864) 226-6121
(864) 226-5084
Mailing address
131 BUFORD AVE, ANDERSON, SC 29621
(864) 226-6121
(864) 226-5084
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22444
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3384
—
SC
Enumeration date
04/07/2006
Last updated
10/31/2007
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