Individual
GEMMA CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
220 NORTHSIDE DR, PINECREST ELEMENTARY, GREENWOOD, SC 29649
(864) 941-5580
Mailing address
126 CREEK RD E, GREENWOOD, SC 29646-8513
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1061
SC
Other
Enumeration date
04/15/2014
Last updated
04/15/2014
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