| Dr. Gabriel C. Fornari Jr. Inc. | |
|
132 Bluffton Rd Bluffton SC 29910-6212 | |
| (843) 706-2255 | |
| Not Available |
| Full Name | Dr. Gabriel C. Fornari Jr. Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 132 Bluffton Rd, Bluffton, South Carolina |
| Authorized Official Name and Position | Gabriel Fornari (OWNER) |
| Authorized Official Contact | 8437062255 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Gabriel C. Fornari Jr. Inc. 132 Bluffton Rd Bluffton SC 29910-6212 Ph: () - | Dr. Gabriel C. Fornari Jr. Inc. 132 Bluffton Rd Bluffton SC 29910-6212 Ph: (843) 706-2255 |
| NPI Number | 1821254160 |
|---|---|
| Provider Enumeration Date | 08/06/2008 |
| Last Update Date | 05/07/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821254160 | NPI | - | NPPES |
| 004934 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0493 (South Carolina) | Primary |
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