Individual
GREGORY FURNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
6925 MAIN ST, COLUMBIA, SC 29203-3801
(803) 518-0137
Mailing address
6925 MAIN ST, COLUMBIA, SC 29203-3801
(803) 518-0137
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
2046
OH
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0289PA
—
SC
Enumeration date
07/29/2005
Last updated
07/28/2009
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