NPI 1013022003

Dominic Bruno Gault, MD

Practitioner Pediatric Sleep Medicine Physician Greenville, SC

Practice location

Address: 200 Patewood Dr STE A330, Greenville, SC 29615-3593
Phone: (864) 454-5660
Fax: (864) 241-9233
Mailing address: 300 E McBee Ave, Greenville, SC 29601-2842

Registered specialties

Pediatric Sleep Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2080S0012X Licence 29065 (SC)

Other Pediatrics providers in South Carolina →

Registry record

NPI: 1013022003
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Aug 2006
Record last updated: 14 May 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.