Individual
GILBERT C VINZON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2100 CHARLIE HALL BLVD, CHARLESTON, SC 29414-5832
(843) 852-4100
Mailing address
1027 TJ LN, SUMMERVILLE, SC 29486-8643
(808) 386-0467
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
265959
SC
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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