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Organization

GATEWAY MEDICAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTINA M JEFFCOAT (COO/EXEC VP)
(803) 957-0500
Entity
Organization

Contact information

Practice address
171B MONROE LN, LEXINGTON, SC 29072-3904
(803) 358-8496
(866) 614-3887
Mailing address
PO BOX 2169, LEXINGTON, SC 29071-2169
(803) 358-6762
(803) 358-1708

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
363LG0600X
Gerontology Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GP7520
SC
Enumeration date
08/24/2015
Last updated
07/24/2025
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