Gwynette, Gretchen Wriston
Gwynette, Gretchen Wriston is an individual health care provider with primary practice located at 1394 Center Lake Dr , Mount Pleasant SC 29464-7420. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Gwynette, Gretchen Wriston can be contacted via phone (843) 475-4325.Contact Information
Primary practice address
1394 Center Lake Dr
Mount Pleasant SC 29464-7420
Phone: (843) 475-4325
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | A78296 | California |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 30336 | South Carolina |
Profile Details
| NPI number | 1770532525 |
|---|---|
| LBN Legal business name | Gwynette, Gretchen Wriston |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 9th, 2006 |
| Last updated | May 23rd, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770532525 | NPPES |
| California | MEDICAID | 00A782960 |
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