Individual
MRS. REBEKAH H GASTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.E.D, ATC
Contact information
Practice address
104 SALUDA POINTE DR, LEXINGTON, SC 29072-7295
(803) 315-6863
Mailing address
1934 GLENWOOD RD, COLUMBIA, SC 29204-7718
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
SC
Other
Enumeration date
04/03/2007
Last updated
08/14/2012
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