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NPI Code Detail

MEDICARE: AMBER GASPARD

MEDICARE: AMBER GASPARD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12083A0300XAddiction Medicine (Preventive Medicine) Physician82518SC
2207Q00000XFamily Medicine Physician82518SC

General Provider Information

NPI Number : 1326605890
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMBER GASPARD
Provider Business Mailing Address
First Line : 104 WELLS AVE
Second Line :
City : GREENWOOD
State : SC
Zip : 29646-3837
Country : US
Telephone Number : 864-725-4673
Fax Number : 864-725-4883
Provider Business Practice Location Address
First Line : 1325 SPRING ST
Second Line :
City : GREENWOOD
State : SC
Zip : 29646-3860
Country : US
Telephone Number : 864-725-4780
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2019
Last Update Date : 04/13/2026

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Directions to “ AMBER GASPARD ” Practice Location

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