Individual
GREGORY ALAN SEXTON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1708 LAUREL ST, COLUMBIA, SC 29201
(803) 252-6222
(803) 771-7724
Mailing address
1708 LAUREL ST, COLUMBIA, SC 29201
(803) 252-6222
(803) 771-7724
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
11642
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001946
BUSINESS LICENSE
SC
05
—
1322
—
SC
Enumeration date
02/09/2006
Last updated
07/09/2007
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