Individual
DAVID P GOSNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
104 SIMPSON ST, GREENVILLE, SC 29605-4413
(864) 522-3900
(864) 522-3909
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
(864) 797-6198
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
428
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DVO428
—
SC
Enumeration date
04/18/2007
Last updated
05/10/2021
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