Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 35.093337 | OH |
Y | 207XS0106X | Orthopaedic Hand Surgeon | TL38070 | SC |
NPI | 1023212024 |
---|---|
Provider Name | John Christopher Gayton |
First Address | Conway, SC 29526-8995 |
Second Address | Conway, SC 29526-8995 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2007 |
Last Update Date | 23/06/2015 |