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Contact Information

KADEIDRE L GAYMON
6439 GARNERS FERRY RD
COLUMBIA, SC29209-1638
 Phone: 803-920-6625
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

163WC0200X
 

Home Health

163WH0200X
 

Registered Nurse

163W00000X
 

Wound Care

163WW0000X
Indicates primary specialty

NPI Profile & details for KADEIDRE L GAYMON · (Female)

NPI # 1891460853
Status Active
Credentials
Entity Individual
Enumeration date 08/11/2021
Last updated 08/11/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • SC License # 249257
  • TN Other PVF908740801 BLUE CROSS BLUE SHIELD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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