Provider Demographics
NPI:1144976085
Name:FOLK, GRETCHEN ROBINSON (APRN)
Entity type:Individual
Prefix:
First Name:GRETCHEN
Middle Name:ROBINSON
Last Name:FOLK
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:GRETCHEN
Other - Middle Name:OCTAVIA
Other - Last Name:ROBINSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:SC HOUSE CALLS INC.
Mailing Address - Street 2:111 DOCTORS CIR.
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29203
Mailing Address - Country:US
Mailing Address - Phone:800-491-0909
Mailing Address - Fax:706-722-5118
Practice Address - Street 1:SC HOUSE CALLS INC.
Practice Address - Street 2:111 DOCTORS CIR.
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29203
Practice Address - Country:US
Practice Address - Phone:800-491-0909
Practice Address - Fax:706-722-5118
Is Sole Proprietor?:No
Enumeration Date:2022-03-01
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAGAA-NP000518363LF0000X
SC25576363LF0000X
SCAPRN25576363LF0000X
SCAPN.25576APRN363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily