Organization
CLEMSON UNIVERSITY
Active
Other names
Clemson University Clemson Rural Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD W GIMBEL PHD (DIRECTOR)
(864) 656-1969
Entity
Organization
Contact information
Practice address
200 BOOKER DR, WALHALLA, SC 29691-2278
(864) 656-1969
(843) 985-9562
Mailing address
101 EDWARDS HALL, CLEMSON, SC 29634-0001
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
207Q00000X
Family Medicine Physician
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP1885
—
SC
Enumeration date
01/02/2008
Last updated
12/15/2025
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