| Type | Legal entity | [sources] | |||
|---|---|---|---|---|---|
| Name | Gore, Mona L. | [sources] | |||
| Legal form | not available | [sources] | |||
| Country | United States | [sources] | |||
| NPI | 1306810676 | [sources] | |||
| Sector | Ind-Lic HC Serv Prov - Nurse Anesthetist | [sources] | |||
| Status | not available | [sources] | |||
| Address | Myrtle Beach, SC 29572 | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers excluded from South Carolina's Medicaid program.
United States · SCDHHS
us-npi-1306810676 · us-medsc-1f679522e8afb115c623ccceb60ffa57224da57dFor experts: raw data explorer
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