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Organization

TODD D. GWIN, MD, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TODD D GWIN MD (PRESIDENT)
(864) 583-5312
Entity
Organization

Contact information

Practice address
1330 BOILING SPRINGS ROAD, SUITE 2400, SPARTANBURG, SC 29303
(864) 583-5312
(864) 582-1935
Mailing address
1330 BOILING SPRINGS ROAD, SUITE 2400, SPARTANBURG, SC 29303
(864) 583-5312
(864) 582-1935

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
14232
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DF0219
RAILROAD MEDICARE
05
GP1313
SC
Enumeration date
09/27/2006
Last updated
08/28/2008
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