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1467498709
MARK A GAUTHIER
SURFSIDE BEACH, SC
NPI
1467498709
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: SC 15530)
Enumeration Date
2006-06-22
Last Update Date
2009-09-16
Business Address
Dr. MARK A GAUTHIER MD
1600 HIGHWAY 17 N
SURFSIDE BEACH, SC 29575-6015
Phone number: 843-238-1461
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Mailing Address
Dr. MARK A GAUTHIER MD
1818 HENDERSON ST
COLUMBIA, SC 29201-2619
Phone number: 803-782-4278
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