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Gabriella Leary, PA-C
Medical Physician Assistant in Surfside Beach, South Carolina
NPI 1124740865

Gabriella Leary is a Medical Physician Assistant based in Conway, SC and is specialized in Medical. Gabriella Leary practices in Surfside Beach, SC and has the professional credentials of PA-C. The NPI Number for Gabriella Leary is 1124740865 and holds a License No. 4618PA (South Carolina).

The current practice location address for Gabriella Leary is 1413 Highway 17 N, Surfside Beach, SC and can be reached out via phone at 843-238-5654 and via fax at 843-238-1624.

Location: 1413 Highway 17 N, Surfside Beach, SC, 29526-9142
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Provider Profile Details
NPI Number
1124740865
Provider Name
Gabriella Leary
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1413 Highway 17 N, Surfside Beach, SC, 29526-9142
Phone Number
843-238-5654
Fax Number
843-238-1624
Provider Enumeration Date
09/19/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5986PA 05 SC
institution
Provider Business Practice Location Address Details
Address
1413 Highway 17 N
City
State
Zip
29575-6012
Phone Number
843-238-5654
Fax Number
843-238-1624
person
Provider Business Mailing Address Details
Address
1413 Highway 17 N
City
State
Zip
29575-6012
Phone Number
843-238-5654
Fax Number
843-238-1624
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
4618PA (South Carolina)
Definition
Definition to come...
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