Individual
DR. GWENDOLYN TODD-HOUSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
51 NASSAU ST, CHARLESTON, SC 29403-5513
(843) 722-4112
(843) 577-8960
Mailing address
51 NASSAU STREET, CHARLESTON, SC 29403
(843) 722-4112
(843) 722-4802
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
L3207
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AT0221
—
SC
Enumeration date
08/31/2006
Last updated
07/21/2015
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