Individual
GARY WALTER SPRANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
7900 N KINGS HWY, MYRTLE BEACH, SC 29572-3055
(843) 449-3381
(843) 449-9721
Mailing address
7900 N KINGS HWY, MYRTLE BEACH, SC 29572-3055
(843) 449-3381
(843) 449-9721
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1601
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AN1128
—
SC
Enumeration date
07/14/2006
Last updated
07/13/2023
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