Individual
DR. RICHARD DAVID GENTZLER II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-8908
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD013284E
PA
207RC0000X
Cardiovascular Disease Physician
Primary
20213
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006575990004
—
PA
Enumeration date
03/02/2006
Last updated
11/02/2015
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