Individual
MRS. PENNY PATTILLO GALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 BLASSINGAME RD, GREENVILLE, SC 29605-3304
(864) 355-2907
Mailing address
100 BLASSINGAME RD, GREENVILLE, SC 29605-3304
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
17285
SC
Other
Enumeration date
03/25/2013
Last updated
03/25/2013
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