MS. Gayla Denise Bouknight

NPI #1568503019 in Columbia, South Carolina

Provider Information

NPI Number
1568503019
Entity Type
Individual
Name
MS. Gayla Denise Bouknight
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Voluntary or Charitable
Enumeration Date
Feb 9, 2007
Last Updated
Jul 9, 2007

Practice Location

Address
8213 SPRING FLOWER RD
ZIP Code
29223-5640
Phone
(803) 419-6781

Specialties & Taxonomy Codes

Specialty
Voluntary or Charitable

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Provider Name
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