Individual
ANNEMARIE GIERLING GAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
BEAUFORT MEMORIAL MEDICAL ONCOLOGY INFUSION CENTER, 989 RIBAUT RD, STE 103, BEAUFORT, SC 29902
(843) 522-5351
(843) 522-7313
Mailing address
955 RIBAUT RD, BMAC CREDENTIALING, BEAUFORT, SC 29902-5441
(843) 522-5674
(843) 522-5678
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
20334
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP4914
—
SC
Enumeration date
12/14/2016
Last updated
01/10/2020
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