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Individual

ALLISON O. GOSNELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1005 E CHEVES ST, FLORENCE, SC 29506-2707
(843) 777-7900
(843) 777-7925
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(843) 777-7092
(843) 777-7102

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2007
SC
363A00000X
Physician Assistant
Primary
9626
GA
363AS0400X
Surgical Physician Assistant
2007

Other

Enumeration date
09/12/2013
Last updated
05/06/2020
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