Gaston, Mary

Gaston, Mary is an sole proprietor health care provider with primary practice located at 4401 Belle Oaks Dr , North Charleston SC 29405-8537. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Gaston, Mary can be contacted via phone (803) 374-6255.

Contact Information

Primary practice address
4401 Belle Oaks Dr North Charleston SC 29405-8537
Phone: (803) 374-6255
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 3828 South Carolina
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 3828 South Carolina

Profile Details

NPI number 1063819746
LBN Legal business name Gaston, Mary
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 25th, 2014
Last updated Jan 19th, 2022 - about 4 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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