Individual
MR. JUSTIN DANIEL GELLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
300 SINGLETON RIDGE RD, CONWAY, SC 29526-9142
(843) 347-7111
Mailing address
11202 KLING ST, NORTH HOLLYWOOD, CA 91602-1710
(314) 605-9889
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
PA
Other
Enumeration date
04/01/2024
Last updated
04/03/2025
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