Individual
VAN ALAN GAUBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
93 N MAIN ST, HILTON HEAD, SC 29926-6613
(843) 681-3777
(843) 681-9996
Mailing address
4750 HEMPSTEAD STATION DR, KETTERING, OH 45429-5164
(800) 875-0136
(937) 619-4231
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
T6915
SC
207Q00000X
Family Medicine Physician
Primary
MD22856
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T69156
—
SC
Enumeration date
05/05/2006
Last updated
04/17/2025
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