person
Ms. Gayla Denise Bouknight
Voluntary or Charitable Agency in Columbia, South Carolina
NPI 1568503019

Gayla Denise Bouknight is a Voluntary or Charitable Agency based in Columbia, SC. Gayla Denise Bouknight practices in Columbia, SC. The NPI Number for Gayla Denise Bouknight is 1568503019 and holds a License No. V04797 (South Carolina).

The current practice location address for Gayla Denise Bouknight is 8213 Spring Flower Rd, Columbia, SC and can be reached out via phone at 803-419-6781.

Location: 8213 Spring Flower Rd, Columbia, SC, 29223-5640
person
Provider Profile Details
NPI Number
1568503019
Provider Name
Gayla Denise Bouknight
Credential
Provider Entity Type
Individual
Gender
Female
Address
8213 Spring Flower Rd, Columbia, SC, 29223-5640
Phone Number
803-419-6781
Fax Number
Provider Enumeration Date
02/09/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
V04797 05 SC
institution
Provider Business Practice Location Address Details
Address
8213 Spring Flower Rd
City
State
Zip
29223-5640
Phone Number
803-419-6781
Fax Number
person
Provider Business Mailing Address Details
Address
8213 Spring Flower Rd
City
State
Zip
29223-5640
Phone Number
803-419-6781
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Voluntary or Charitable
Speciality
-
Taxonomy
License No.
V04797 (South Carolina)
Definition
Definition to come...
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