Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 23474 | SC |
NPI | 1023097532 |
---|---|
Provider Name | Dr. Patricia S Gerber |
First Address | North Charleston, SC 29420-4211 |
Second Address | North Charleston, SC 29420-4211 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/01/2006 |
Last Update Date | 17/11/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C84013 | (02) | SC |
Q28032 | (05) | SC |