Individual
MARY DOBRY GUSTAFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
DORN VETERANS ADMINISTRATION, 6439 GARNER'S FERRY ROAD, COLUMBIA, SC 29209
(803) 776-4000
Mailing address
6439 GARNERS FERRY RD, DORN VETERAN HOSPITAL, COLUMBIA, SC 29209-1638
(803) 776-4000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
127
SC
Other
Enumeration date
08/11/2006
Last updated
04/30/2024
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