Individual
MRS. MARY JO ELLEN GUNSELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2051 CHARLIE HALL BLVD, CHARLESTON, SC 29414-5834
(843) 573-2535
(843) 573-2534
Mailing address
2051 CHARLIE HALL BLVD, CHARLESTON, SC 29414-5834
(843) 573-2535
(843) 573-2534
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APN2725
SC
Other
Enumeration date
05/08/2007
Last updated
08/19/2013
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