Individual
EDWIN H GORANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1304 W BOBO NEWSOM HWY, HARTSVILLE, SC 29550-4710
(843) 339-2100
Mailing address
443 OAKDALE DR, HARTSVILLE, SC 29550-8063
(843) 332-0780
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R51873
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AN0380
—
SC
Enumeration date
06/08/2006
Last updated
06/04/2009
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