| NPI | 1770543100 |
|---|---|
| Doing Business As | GATEWAY FAMILY MEDICINE OF TRAVELERS REST |
| Entity Type | Organization |
| Authorized Contact | WILBUR R GAY CFO 864-605-3762 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2019-07-02 |