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1861916363
GERALD JAMES SPROUT
GREENVILLE, SC
NPI
1861916363
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: SC 2755)
Enumeration Date
2017-07-27
Last Update Date
2021-05-23
Business Address
GERALD JAMES SPROUT PA-C
890 W FARIS RD STE 100
GREENVILLE, SC 29605-4285
Phone number: 864-555-2888
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Mailing Address
GERALD JAMES SPROUT PA-C
300 E MCBEE AVE FL 4
GREENVILLE, SC 29601-2842
Phone number: 864-522-8617
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