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Individual

DR. CHAD ERIC GOSNELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
4500 STUART STREET, MONCRIEF ARMY COMMUNITY HOSPITAL/CREDENTIALS, FORT JACKSON, SC 29207-5720
(803) 751-2618
(803) 751-2689
Mailing address
4500 STUART ST; MONCRIEF ARMY COMMUNITY HOSPITAL, ATTN: MCXL-PQ (CREDENTIALS), FORT JACKSON, SC 29207-5720
(803) 751-2618
(803) 751-2689

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4003
WA

Other

Enumeration date
09/25/2006
Last updated
07/08/2007
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