Individual
GABRIELLE CAROLINE DIMATTIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
890 W FARIS RD STE 520, GREENVILLE, SC 29605-4291
(864) 455-9033
(864) 455-6559
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LL82263
SC
207RI0200X
Infectious Disease Physician
Primary
82263
SC
Other
Enumeration date
06/17/2019
Last updated
07/26/2024
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