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General NPI Number Information
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NPI Number | 1023212024
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Entity Type | Individual
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Provider Name | JOHN CHRISTOPHER GAYTON MD
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Gender | Male
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Dates
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Enumeration Date | 06/13/2007
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Last Update Date | 07/20/2022
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Provider Practice Location Address
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Address Line | 2376 CYPRESS CIR STE 300
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City | CONWAY
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State | SC
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Zip | 29526-8995
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Country | US
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Telephone | 843-347-7222
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Fax |
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Provider Business Mailing Address
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Address Line | 210 VILLAGE CENTER BLVD STE 140
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City | MYRTLE BEACH
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State | SC
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Zip | 29579-6706
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Country | US
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Telephone | 843-353-3460
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Fax | 843-353-3461
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 35.093337
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 4301090406
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number | TL38070
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License Number State | SC
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