Individual
DR. WAYNE GAINES ENTREKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
302 UNIVERSITY PKWY, AIKEN REGIONAL MEDICAL CENTERS DR 1117, AIKEN, SC 29802-1117
(803) 641-5000
(803) 641-5690
Mailing address
PO DRAWER 1117, 302 UNIVERSITY PKWY AIKEN REGIONAL MEDICAL CENTERS, AIKEN, SC 29802-1117
(803) 641-5000
(803) 641-5690
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5359
SC
Other
Enumeration date
07/10/2007
Last updated
07/10/2007
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