Individual
KATIE WITTWER GAMBRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
701 GROVE RD, GREENVILLE, SC 29605-4210
(864) 455-3287
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8617
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35.128873
OH
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
51198
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
511985
—
SC
Enumeration date
04/18/2013
Last updated
10/29/2021
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