Individual
ANGELAN GOMILLION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
1315 ROBERTS ST, CAMDEN, SC 29020-3737
(803) 432-4311
Mailing address
PO BOX 23321, NEW YORK, NY 10087-4321
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
28037
SC
363LN0000X
Neonatal Nurse Practitioner
28037
SC
Other
Enumeration date
11/17/2014
Last updated
08/28/2025
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