Individual
PAUL ANDREW GULLEDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
512 NELSON BLVD STE 200, KINGSTREE, SC 29556-4027
(843) 355-5459
(843) 355-9704
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(843) 777-7487
(843) 777-7102
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
699
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
699
LICENSE NUMBER
SC
Enumeration date
03/06/2007
Last updated
02/22/2021
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