Individual
ERIC STEPHEN GWYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
75 BAYLOR DR STE 205, BLUFFTON, SC 29910-8965
(843) 706-2255
(843) 706-2257
Mailing address
75 BAYLOR DR STE 205, BLUFFTON, SC 29910-8965
(843) 706-2255
(843) 706-2257
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
110158
NC
208800000X
Urology Physician
Primary
35373
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CF8401
RAILROAD MEDICARE
VA
Enumeration date
03/16/2007
Last updated
03/26/2024
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