Organization
MONTCLARE MEDICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GWENDOLYN JETT GATTISON (CEO)
(843) 307-1995
Entity
Organization
Contact information
Practice address
1625 GREENFIELD RD, DARLINGTON, SC 29540-9158
(843) 307-1995
Mailing address
1625 GREENFIELD RD, DARLINGTON, SC 29540-9158
(843) 307-1995
Taxonomy
Speciality
Code
Description
License number
State
261QG0250X
Genetics Clinic/Center
Primary
—
—
Other
Enumeration date
02/12/2021
Last updated
02/12/2021
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