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Individual

MR. MICHAEL BRANDEN GATLIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
255 ENTERPRISE BLVD STE 101, GREENVILLE, SC 29615-3530
(864) 454-8120
(864) 454-8125
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
27746
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
239284
SCBON
SC
Enumeration date
09/27/2021
Last updated
09/01/2023
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