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Gregory Paul Bookout, D.O.

Emergency Medicine in Myrtle Beach, SC. Individual provider (NPI-1).

NPI number1255786034
StatusActive
Last updated in NPPESMar 17, 2018

Details

NPI
1255786034
Entity type
Individual (NPI-1)
Name
Gregory Paul Bookout
Credential
D.O.
Sex
Male
Sole proprietor
No
Enumeration date
Apr 28, 2016
Last updated
Mar 17, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency MedicineLL40764SCYes

Practice location

809 82nd Pkwy
Myrtle Beach, SC 29572-4607

Phone 606-224-7698

Mailing address

Po Box 1190
Lawrenceville, GA 30046-1190

Other practice locations

665 Duluth Highway
Suite 401
Lawrenceville, GA 30046-8709

Phone 678-312-4074 · Fax 678-312-3674

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