Individual
GORDON H BOBBETT II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
154 SALUDA POINTE COURT, LEXINGTON, SC 29072
(803) 785-3590
(803) 785-3595
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
18748
SC
207P00000X
Emergency Medicine Physician
200100511
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89129X6
—
NC
Enumeration date
02/08/2007
Last updated
10/13/2020
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