Organization
HILTON HEAD GASTROENTEROLOGY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN P. GWOZDZ MD (PRESIDENT)
(843) 681-6668
Entity
Organization
Contact information
Practice address
35 BILL FRIES DR, HILTON HEAD ISLAND, SC 29926-2730
(843) 681-6668
(843) 681-3295
Mailing address
35 BILL FRIES DR, HILTON HEAD ISLAND, SC 29926-2730
(843) 681-6668
(843) 681-3295
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
14617
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP2995
—
SC
Enumeration date
10/03/2006
Last updated
07/05/2013
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