Mason Paige Gambrell

NPI #1295353100 in Clinton, South Carolina

Provider Information

NPI Number: 1295353100
Entity Type: Individual
Name: Mason Paige Gambrell
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jul 7, 2020
Last Updated: Jul 7, 2020

Practice Location

Address: 107 SHELLCREEK CT
City: Clinton
State: South Carolina
ZIP Code: 29325
Phone: (864) 923-6299

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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