Gardziola, Concetta Aurelia

Gardziola, Concetta Aurelia is an individual health care provider with primary practice located at 340 Medical Pkwy Ste 100 , Greer SC 29650-2441. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Gardziola, Concetta Aurelia can be contacted via phone (864) 334-4900.

Contact Information

Primary practice address
340 Medical Pkwy Ste 100 Greer SC 29650-2441
Phone: (864) 334-4900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 1224 South Carolina

Profile Details

NPI number 1902822166
LBN Legal business name Gardziola, Concetta Aurelia
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated May 12th, 2021 - about 4 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 1902822166 NPPES
South Carolina Other AA3578 MEDICARE PTAN
South Carolina MEDICAID 1902822166 MEDICARE PTAN
South Carolina Other 571018487 MEDICARE PTAN

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