Individual provider · Type 1 NPI

Blair O'Shields Gault

Family Nurse Practitioner · Spartanburg, SC

NPI number 1003395385 Active

Practice location

100 E Wood St
Spartanburg, SC 29303-3004

Mailing address

PO Box 2777723
Atlanta, GA 30384-7723

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X22024 (SC)

Family Nurse Practitioner: Definition to come...

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About NPI 1003395385

Blair O'Shields Gault's National Provider Identifier is 1003395385, issued on Aug 8, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Spartanburg, SC. The record was last updated on Oct 19, 2026.