Gates, Jeanne Patricia

Gates, Jeanne Patricia is an individual health care provider with primary practice located at 1714 Highway 17 S , North Myrtle Beach SC 29582-4041. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Gates, Jeanne Patricia can be contacted via phone (843) 361-0705.

Contact Information

Primary practice address
1714 Highway 17 S North Myrtle Beach SC 29582-4041
Phone: (843) 361-0705
Fax: (843) 361-4045
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X TL1299 South Carolina

Profile Details

NPI number 1013122746
LBN Legal business name Gates, Jeanne Patricia
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2007
Last updated Mar 13th, 2008 - 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 1013122746 NPPES
South Carolina Other TL1299 PA

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