Individual
GINA ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
212 E MARION ST, KERSHAW, SC 29067-1442
(803) 285-2273
Mailing address
800 N WHITE ST, LANCASTER, SC 29720-2177
(803) 285-2273
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
23227
SC
Other
Enumeration date
10/07/2019
Last updated
10/02/2025
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