Individual provider · Type 1 NPI

Gabriella Leary, PA-C

Medical Physician Assistant · Surfside Beach, SC

NPI number 1124740865 Active

Practice location

1413 Highway 17 N
Surfside Beach, SC 29575-6012

Call (843) 238-5654 Map

Fax (843) 238-1624

Mailing address

300 Singleton Ridge Rd, Attention Pns Credentialing
Conway, SC 29526-9142

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X4618PA (SC)

Medical Physician Assistant: Definition to come...

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About NPI 1124740865

Gabriella Leary, PA-C's National Provider Identifier is 1124740865, issued on Sep 19, 2022. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Surfside Beach, SC. The record was last updated on Mar 20, 2023.