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Individual

MR. GARY E WINDLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9100 MEDICOM ST, N CHARLESTON, SC 29406
(843) 569-3367
(843) 764-3577
Mailing address
9100 MEDCOM ST, N CHARLESTON, SC 29406
(843) 569-3367
(843) 764-3577

Taxonomy

Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
14288
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
142884
SC
Enumeration date
08/03/2006
Last updated
10/02/2007
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