Individual
OLIVIA GRACE GABRIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
131 COMMONWEALTH DR STE 390, GREENVILLE, SC 29615-4837
(864) 335-7555
Mailing address
131 COMMONWEALTH DR STE 390, GREENVILLE, SC 29615-4837
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1199914
SC
Other
Enumeration date
12/16/2022
Last updated
02/04/2025
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