Organization
DR. VASANT L. GARDE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VASANT L GARDE MD (OWNER)
(803) 564-8803
Entity
Organization
Contact information
Practice address
120 LOUIE STREET, WAGENER, SC 29164
(803) 564-8803
(803) 564-8804
Mailing address
408 TWO NOTCH RD, LEXINGTON, SC 29073-8827
(803) 356-2262
(803) 957-6800
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
10226
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102267
—
SC
Enumeration date
04/25/2012
Last updated
04/25/2012
Update your record
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