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Individual

GASTON G MACHADO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8740 RIVERS AVE, NORTH CHARLESTON, SC 29406-9211
(843) 572-5990
(843) 572-2928
Mailing address
8740 RIVERS AVE, CHARLESTON, SC 29406
(843) 572-5990
(843) 572-2928

Taxonomy

Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
13512
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
135124
SC
Enumeration date
04/27/2006
Last updated
07/08/2007
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