Choi, Gwen Caroline

Choi, Gwen Caroline is an sole proprietor health care provider with primary practice located at 1301 Taylor St Ste 1A , Columbia SC 29201-2946. She recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as her primary health care specialty. Choi, Gwen Caroline can be contacted via phone (803) 434-4790.

Contact Information

Primary practice address
1301 Taylor St Ste 1A Columbia SC 29201-2946
Phone: (803) 434-4790
Fax: (803) 434-4799
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 4301109296 Michigan
Allopathic & Osteopathic Physicians / Urology 208800000X 35.090806 Ohio
Allopathic & Osteopathic Physicians / Urology 208800000X MD40151 South Carolina

Profile Details

NPI number 1528287836
LBN Legal business name Choi, Gwen Caroline
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 25th, 2007
Last updated Jan 26th, 2023 - about last year

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 1528287836 NPPES
South Carolina MEDICAID 401513

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