Individual
GAMAL A ELSAIDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
10 E HOSPITAL STREET, EMERGENCY DEPT, MANNING, SC 29102
(803) 435-8463
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(803) 435-5270
(803) 433-0154
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
200300147
NC
207P00000X
Emergency Medicine Physician
Primary
36607
SC
207P00000X
Emergency Medicine Physician
5101011933
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11275652
CAQH
MI
Enumeration date
06/24/2006
Last updated
10/26/2016
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