Organization
DR. GABRIEL C. FORNARI JR. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GABRIEL FORNARI JR. D.O. (OWNER)
(843) 706-2255
Entity
Organization
Contact information
Practice address
132 BLUFFTON RD, BLUFFTON, SC 29910-6212
(843) 706-2255
Mailing address
132 BLUFFTON RD, BLUFFTON, SC 29910-6212
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0493
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004934
—
SC
Enumeration date
08/06/2008
Last updated
05/07/2009
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