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Individual

DR. JENNIFER LYNN GNERLICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
146 E HOSPITAL DR STE 400, WEST COLUMBIA, SC 29169-4800
(803) 936-3300
(803) 936-7735
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
(803) 936-3300
(803) 936-7735

Taxonomy

Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
0101269950
VA
2086X0206X
Surgical Oncology Physician
Primary
90602
SC

Other

Enumeration date
10/05/2006
Last updated
01/16/2024
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