MEDICARE: DR. CHRISTINA S GWOZDZ

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
1	174400000X	Specialist

General Provider Information

NPI Number	:	1982621785
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTINA S GWOZDZ

Provider Business Mailing Address
First Line	:	4101 MAIN ST
Second Line	:	SUITE F
City	:	HILTON HEAD
State	:	SC
Zip	:	29926-4608
Country	:	US
Telephone Number	:	843-681-2300
Fax Number	:

Provider Business Practice Location Address
First Line	:	4101 MAIN ST
Second Line	:	SUITE F
City	:	HILTON HEAD
State	:	SC
Zip	:	29926-4608
Country	:	US
Telephone Number	:	843-681-2300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/16/2006
Last Update Date	:	11/19/2007

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