Individual
HELENE GERRALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
5050 HIGHWAY 17 S, SURFSIDE BEACH, SC 29575-4910
(843) 497-5929
(843) 497-9940
Mailing address
4615 OLEANDER DR, MYRTLE BEACH, SC 29577-5741
(843) 497-5929
(843) 497-9940
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
363
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TL0601
—
SC
Enumeration date
02/28/2006
Last updated
10/23/2007
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