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Contact Information

VICKY GUTIERREZ, PA-C
890 W FARIS RD STE 310
GREENVILLE, SC29605-4281
 Phone: 864-455-8300
 Fax: 864-455-8310
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for VICKY GUTIERREZ · (Female)

NPI Number 1346614732
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 11/23/2015
Last updated 05/26/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • SC License # 2483
  • SC Medicaid 2542PA
  • SC Other SC7826 MEDICARE
Hospital affiliation(s)
  • HILLCREST MEMORIAL HOSPITAL - (Acute Care)
    729 SOUTH EAST MAIN STREET
    SIMPSONVILLE, SC 29681
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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