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Organization

GCS RADIOLOGY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GREGORY C SMITH MD (PRESIDENT/OWNER)
(843) 669-5162
Entity
Organization

Contact information

Practice address
1000 W HAMLET AVE, RADIOLOGY DEPT, HAMLET, NC 28345-4522
(843) 669-5162
(843) 667-4573
Mailing address
PO BOX 100523, FLORENCE, SC 29501-0523
(843) 669-5162
(843) 667-4573

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
38691
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5902749
NC
05
NPB144
SC
Enumeration date
04/27/2006
Last updated
05/15/2012
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