MRS. GWENDOLYN BARTON BOZEMAN (NPI# 1447543616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447543616 |
| Entity Type | Individual |
| Full Name | MRS. GWENDOLYN BARTON BOZEMAN |
| Credential | M.A., B.S. |
| Practice Address |
410 E Butler Rd Mauldin SC 29662-3250 |
| Mailing Address |
1 Hushpah Ct Simpsonville SC 29680-7382 |
| Practice Telephone | 8645691599 |
| Mailing Telephone | 8645691599 |
| Enumeration Date | 2011-05-22 |
| Last Update Date | 2011-05-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
4870 | SC | Speech, Language and Hearing Service Providers |
| Street Address |
410 E BUTLER RD |
| City | MAULDIN |
| State | SC |
| Zip Code | 29662-3250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194003251 | Deborah M Culbertson | Speech-Language Pathologist | 410 E Butler Rd, Suite D, Mauldin, SC 29662-3250 | 2011-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154862399 | Connie Painter | Behavior Technician | 103 Miller Rd, Mauldin, SC 29662 | 2017-03-20 |
| 1073061610 | Lisa Rist | Counselor | 400 South Main St Suite C, Mauldin, SC 29662 | 2016-09-12 |
| 1285181347 | Jennifer Wise | Specialist/Technologist | 310 Neely Ferry Road, Mauldin, SC 29662 | 2016-09-07 |
| 1467908236 | Maan Aziz Kerzzo | Pharmacist | 129 West Butler Road, Mauldin, SC 29662 | 2016-08-31 |
| 1083011357 | Southeast Transportation Services LLC | Non-emergency Medical Transport (VAN) | 411 N. Main St., Mauldin, SC 29662 | 2014-12-02 |
| 1174926471 | Holly Christine Waite | Chiropractor | 785 E Butler Rd, Ste D, Mauldin, SC 29662 | 2014-09-30 |
| 1194138701 | Vanessa Vance-logan | Case Manager/Care Coordinator | 400 West Butler Road; Suite B-1, Mauldin, SC 29662 | 2014-06-11 |
| 1265771984 | Connie Mae Lenagh | Nurse Practitioner | 924 E. Butler Rd, Mauldin, SC 29662 | 2013-02-01 |
| 1679823918 | Linda W Gerhart | Pharmacist | 224 East Butler Rd, Mauldin, SC 29662 | 2012-09-13 |
| 1114277894 | David Merz Banks | Pharmacist | 315 West Butler Rd, Mauldin, SC 29662 | 2012-09-11 |
| Find all providers in zip 29662 | ||||
| Taxonomy Code | 2355S0801X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Speech-Language Assistant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285181347 | Jennifer Wise | Specialist/Technologist | 310 Neely Ferry Road, Mauldin, SC 29662 | 2016-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124651377 | Amanda Mcbrayer | Specialist/Technologist | 200 Idonia Dr, Taylors, SC 29687-3813 | 2020-02-17 |
| 1033760384 | Leslie Hagood | Specialist/Technologist | 138 Larkspur Ln, Columbia, SC 29229-8173 | 2019-09-26 |
| 1134616162 | Adriana Kelly | Specialist/Technologist | 714 S Lake Dr Ste 151, Lexington, SC 29072-3462 | 2018-04-16 |
| 1033623897 | Debra L Penland | Specialist/Technologist | 131 Charles B Gibson Blvd, Goose Creek, SC 29445-4559 | 2017-11-30 |
| 1336671296 | Natalie M Clark | Specialist/Technologist | 102 Green Wave Boulevard, Dorchester School District Two, Summerville, SC 29483 | 2017-03-30 |
| 1902201296 | Deborah Houk Cousins | Specialist/Technologist | 1183 Hebron Dunbar Rd, Bennettsville, SC 29512-7307 | 2014-10-29 |
| 1487991154 | Shanta Latrice Chester | Specialist/Technologist | 603 N Dennis Ave, Bishopville, SC 29010-1437 | 2013-01-14 |
| 1750673737 | Shamra O Richardson | Specialist/Technologist | 618 8th Ave, Aynor, SC 29511 | 2011-05-09 |
| 1285880591 | Palmetto Early Interventions, LLC | Specialist/Technologist | 223 Silverbrook Ln, Lexington, SC 29073-6727 | 2008-08-18 |
| 1477152874 | Ciara Lee Figueroa | Specialist/Technologist | 1536 Fording Island Rd Ste 105, Hilton Head Island, SC 29926-1144 | 2020-10-19 |
| Find all providers with the same taxonomy | ||||
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| 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.