Gomez, Victor Anselmo

Gomez, Victor Anselmo is an individual health care provider with primary practice located at 2728 Sunset Blvd Ste 400 , West Columbia SC 29169-4839. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Gomez, Victor Anselmo can be contacted via phone (803) 936-7095.

Contact Information

Primary practice address
2728 Sunset Blvd Ste 400 West Columbia SC 29169-4839
Phone: (803) 936-7095
Fax: (803) 936-7908
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-01821 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 13134 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 607 South Carolina

Profile Details

NPI number 1083672737
LBN Legal business name Gomez, Victor Anselmo
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Jul 22nd, 2026 - about 4 months 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 1083672737 NPPES
Georgia MEDICAID 003331378A
Georgia MEDICAID 003331378B
Georgia MEDICAID 0012PA

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