Bouknight, Gayla Denise

Bouknight, Gayla Denise is an sole proprietor health care provider with primary practice located at 8213 Spring Flower Rd , Columbia SC 29223-5640. She recently has only one registered license in Agencies / Voluntary or Charitable, which is considered as her primary health care specialty. Bouknight, Gayla Denise can be contacted via phone (803) 419-6781.

Contact Information

Primary practice address
8213 Spring Flower Rd Columbia SC 29223-5640
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Voluntary or Charitable 251V00000X V04797 South Carolina

Profile Details

NPI number 1568503019
LBN Legal business name Bouknight, Gayla Denise
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 9th, 2007
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568503019 NPPES
South Carolina MEDICAID V04797

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