Individual
TODD D GWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1520 BOILING SPRINGS RD, BOILING SPRINGS, SC 29316
(864) 583-6381
(864) 583-5337
Mailing address
1520 BOILING SPRINGS RD, BOILING SPRINGS, SC 29316
(864) 583-6381
(864) 583-5337
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
14232
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1050550001
DMERC
—
05
—
14321
—
SC
01
—
180018827
RAILROAD MEDICARE
—
05
—
GP1313
—
SC
Enumeration date
08/10/2005
Last updated
08/22/2023
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