Individual
ALLISON GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1 WELLNESS BLVD STE 109, IRMO, SC 29063-2872
(803) 749-1111
(803) 749-0050
Mailing address
7182 WOODROW ST STE 200, IRMO, SC 29063-2832
(803) 749-1111
(803) 749-0050
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
19740
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APN19740
APRN
SC
Enumeration date
10/13/2015
Last updated
05/05/2024
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