Individual
MR. GREGORY E BAREFOOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.C.
Contact information
Practice address
3 RICHLAND MEDICAL PARK DR STE 350, COLUMBIA, SC 29203-6880
(803) 434-6838
(803) 434-6878
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
762
SC
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
762
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0217PA
—
SC
Enumeration date
04/26/2006
Last updated
03/10/2023
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