Eva Gaillard, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

90623 Issued in SC

Practice address

452 Cassena Cir
Bamberg, SC 29003-2224

Phone

(864) 940-5696

NPI assigned

Sep 17, 2014

Last updated

Sep 17, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410912000000",
    "number": "1629470067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "452 CASSENA CIR",
            "city": "BAMBERG",
            "state": "SC",
            "postal_code": "290032224",
            "telephone_number": "864-940-5696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452 CASSENA CIR",
            "city": "BAMBERG",
            "state": "SC",
            "postal_code": "290032224",
            "telephone_number": "864-940-5696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAILLARD",
        "first_name": "EVA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-17",
        "last_updated": "2014-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "90623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• F Marion Dwight MD PA
• F. M. Dwight, MD, PA
• F. Marion Dwight, MD,PA (Bamberg Family Practice)
• Five Feathers Management Group, LLC (Bamberg Medical Group)
• Charles L. Gaillard, M.D.
• Sheryl Edgemon Gardner, RNC
• Richard Bernard Gunter, RPH
• Angela Hampton, PA-C
• Roger Shawn Heatley
• Rosa Hill

• Registered Nurse in Bamberg, SC
• Providers in Bamberg, SC by specialty
• Registered Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.