Individual
SHERMAN EARL GASKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
125 BROWN ST, LAKE CITY, SC 29560-2337
(202) 390-0979
(843) 374-3095
Mailing address
125 BROWN ST, LAKE CITY, SC 29560-2337
(843) 390-0979
(843) 374-3095
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
CLG98185
SC
Other
Enumeration date
08/30/2023
Last updated
08/30/2023
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