Individual
DR. GISELE J GIRAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
342 PATRICIA LN STE 102, FORT MILL, SC 29708-6608
(803) 802-7100
(803) 802-8378
Mailing address
1750 HIGHWAY 160 WEST, SUITE 101#319, FORT MILL, SC 29708-1759
(803) 802-7100
(803) 802-8378
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
23340
SC
207LP2900X
Pain Medicine (Anesthesiology) Physician
23340
SC
208VP0014X
Interventional Pain Medicine Physician
Primary
23340
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3866
—
SC
05
—
T73364
—
SC
Enumeration date
10/31/2005
Last updated
08/05/2020
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