Individual
DR. EDWIN LAVERNE GANDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
805 PAMPLICO HWY, FLORENCE, SC 29505-6047
(843) 674-5143
(843) 674-5146
Mailing address
947 S IRBY ST, FLORENCE, SC 29501-5238
(843) 674-5143
(843) 674-5146
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
17791
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177917
—
SC
Enumeration date
12/06/2005
Last updated
10/31/2013
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