Individual
EDNA KATHERINE GANTT GETTYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
727 SE MAIN ST, SUITE 300, SIMPSONVILLE, SC 29681-3247
(864) 522-1170
(864) 522-1175
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
38843
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5918508
—
NC
05
—
NC1476
—
SC
Enumeration date
04/24/2008
Last updated
05/26/2021
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