Individual
MR. ADAM KEITH GWINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA, DNAP
Contact information
Practice address
1304 W BOBO NEWSOM HWY, HARTSVILLE, SC 29550-4710
(843) 861-2548
Mailing address
7 INDEPENDENCE PT STE 300, GREENVILLE, SC 29615-4569
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2970
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163W00000X
—
SC
Enumeration date
06/06/2022
Last updated
08/26/2024
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