Provider Demographics
NPI:1891774923
Name:STAPLETON, GAIL ANDERSON (MS, CGC)
Entity Type:Individual
Prefix:MS
First Name:GAIL
Middle Name:ANDERSON
Last Name:STAPLETON
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:MISS
Other - First Name:WANDA
Other - Middle Name:GAIL
Other - Last Name:ANDERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2 DOCTORS DR
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29605-4265
Mailing Address - Country:US
Mailing Address - Phone:864-250-7944
Mailing Address - Fax:864-250-9582
Practice Address - Street 1:2 DOCTORS DR
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29605-4265
Practice Address - Country:US
Practice Address - Phone:864-250-7944
Practice Address - Fax:864-250-9582
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS