Gandy, Edwin Laverne

Gandy, Edwin Laverne is an individual health care provider with primary practice located at 805 Pamplico Hwy , Florence SC 29505-6047. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Gandy, Edwin Laverne can be contacted via phone (843) 674-5143.

Contact Information

Primary practice address
805 Pamplico Hwy Florence SC 29505-6047
Phone: (843) 674-5143
Fax: (843) 674-5146
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 17791 South Carolina

Profile Details

NPI number 1871577478
LBN Legal business name Gandy, Edwin Laverne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2005
Last updated Oct 31st, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871577478 NPPES
South Carolina MEDICAID 177917

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