Individual
MS. BARBARA F GUNNELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
943 PINE LOG RD, AIKEN, SC 29803
(803) 649-9797
(803) 642-2759
Mailing address
943 PINE LOG RD, AIKEN, SC 29803-7330
(803) 649-9797
(803) 642-2759
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
10230
NC
225100000X
Physical Therapist
Primary
5727
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0777Y
BCBS GROUP NUMBER
NC
05
—
720777Y
—
NC
Enumeration date
06/01/2006
Last updated
06/19/2018
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