Individual
MICHAEL GAJEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
6 RICHLAND MEDICAL PARK DR STE 2100, COLUMBIA, SC 29203-6864
(803) 434-2762
(803) 434-2713
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
22255
SC
363LA2100X
Acute Care Nurse Practitioner
Primary
22255
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP5492
—
SC
Enumeration date
09/25/2018
Last updated
12/12/2024
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