Individual
GABRIELLE ANN FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2200 CROW LN STE 301, MYRTLE BEACH, SC 29577-1663
(843) 848-5340
(843) 848-5345
Mailing address
PO BOX 421718, GEORGETOWN, SC 29442-4203
(843) 527-7000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4831
SC
363A00000X
Physician Assistant
MA057015
PA
Other
Enumeration date
09/15/2014
Last updated
11/07/2025
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