Individual
PATRISA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
6 RICHLAND MEDICAL PARK DR STE 2100, COLUMBIA, SC 29203-6864
(803) 434-2762
(803) 434-2713
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
23584
SC
363LF0000X
Family Nurse Practitioner
Primary
23584
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP6638
—
SC
Enumeration date
01/09/2020
Last updated
06/07/2021
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