Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 12694 | SC |
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 12694 | SC |
NPI | 1407829492 |
---|---|
Provider Name | Albert T Gilpin |
First Address | Florence, SC 29502-3239 |
Second Address | Florence, SC 29506-2650 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/02/2006 |
Last Update Date | 03/02/2021 |