Individual
PERCY DEVON GAILLARD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1078 BOULEVARD ST, ORANGEBURG, SC 29115-4351
(803) 231-8820
Mailing address
148 CRAGGY BLUFF RD, ORANGEBURG, SC 29115-8625
(803) 231-8820
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
SC
175F00000X
Naturopath
Primary
NCCAP5030012-24NT
SC
Other
Enumeration date
12/16/2024
Last updated
04/19/2025
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