MS. GAYLA DENISE BOUKNIGHT


Address: 8213 Spring Flower Rd, Columbia, SC 29223-5640
Phone: 8034196781

MS. GAYLA DENISE BOUKNIGHT (NPI# 1568503019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568503019
Entity Type Individual
Full Name MS. GAYLA DENISE BOUKNIGHT
Practice Address 8213 Spring Flower Rd
Columbia
SC 29223-5640
Practice Telephone 8034196781
Mailing Telephone 8034196781
Enumeration Date 2007-02-09
Last Update Date 2007-07-09
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251V00000X Voluntary or Charitable V04797 SC Agencies

Other Provider Identifier

State Issuer Identifier Type Code
SC V04797 05

Office Location

Street Address 8213 SPRING FLOWER RD
City COLUMBIA
State SC
Zip Code 29223-5640

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Taxonomy Information

Taxonomy Code 251V00000X
Grouping Agencies
Classification Voluntary or Charitable

Taxonomy Definition

Definition to come...

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Competitor

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City COLUMBIA
Zip Code 29223

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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