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1366494197
GORDON E PENNEBAKER
CAMDEN, SC
NPI
1366494197
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: SC 18265)
Enumeration Date
2006-05-17
Last Update Date
2012-02-24
Business Address
-- GORDON E PENNEBAKER MD
1344 HAILE ST
CAMDEN, SC 29020-3076
Phone number: 803-432-1996
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Mailing Address
-- GORDON E PENNEBAKER MD
PO BOX 1259 SENTINEL HEALTH PARTNERS PA BUSINESS OFFICE
CAMDEN, SC 29021-1259
Phone number: 803-713-8350
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