Individual
MR. O BOYD GARDO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ANAPLASTOLOGIST
Contact information
Practice address
803 N FANT ST, ANDERSON, SC 29621-5707
(864) 226-3006
(864) 845-5034
Mailing address
126 COOL MEADOWS DR, PIEDMONT, SC 29673-8941
(864) 226-3006
(864) 845-5034
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DE2711
—
SC
Enumeration date
04/26/2006
Last updated
02/12/2008
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