Individual
GWENDOLYN G STRICKLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1600 HIGHWAY 17 N, SURFSIDE BEACH, SC 29575-6015
(843) 238-1461
Mailing address
1205 N MAIN ST, MARION, SC 29571-2008
(843) 423-0760
(843) 423-8138
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
A238
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0889PA
—
SC
01
—
GP5462
GROUP MEDICAID
SC
Enumeration date
07/17/2006
Last updated
02/21/2020
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