Individual
GINA DYER-GOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN-FN
Contact information
Practice address
636 BOLICK RD, FORT MILL, SC 29707-7570
(803) 415-0300
Mailing address
636 BOLICK RD, FORT MILL, SC 29707-7570
(803) 415-0300
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
81590
SC
Other
Enumeration date
09/15/2025
Last updated
09/15/2025
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