person
Victor A Gomez, PA
Surgical Physician Assistant in West Columbia, South Carolina
NPI 1083672737

Victor A Gomez is a Surgical Physician Assistant based in West Columbia, SC and is specialized in Surgical. Victor A Gomez practices in West Columbia, SC and has the professional credentials of PA. The NPI Number for Victor A Gomez is 1083672737 and holds a License No. 607 (South Carolina).

The current practice location address for Victor A Gomez is 2728 Sunset Blvd Ste 400, West Columbia, SC and can be reached out via phone at 803-936-7095 and via fax at 803-936-7908.

Location: 2728 Sunset Blvd Ste 400, West Columbia, SC, 29171-6069
person
Provider Profile Details
NPI Number
1083672737
Provider Name
Victor A Gomez
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
2728 Sunset Blvd Ste 400, West Columbia, SC, 29171-6069
Phone Number
803-936-7095
Fax Number
803-936-7908
Provider Enumeration Date
05/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0012PA 05 SC
institution
Provider Business Practice Location Address Details
Address
2728 Sunset Blvd Ste 400
City
State
Zip
29169-4839
Phone Number
803-936-7095
Fax Number
803-936-7908
person
Provider Business Mailing Address Details
Address
2728 Sunset Blvd Ste 400
City
State
Zip
29169-4839
Phone Number
803-936-7095
Fax Number
803-936-7908
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
607 (South Carolina)
Definition
Definition to come...
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