| Doctor Name: | MRS. VICTORIA FERLITA GORE |
| NPI Number: | 1639320906 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | F.N.P. - BC |
| License Number: | 3537 |
| Business Practice Address: | 1 Hickman St Graniteville, SC - 298292955 |
| Business Phone Number: | 8036639224 |
| Business Fax Number: | 8036638893 |
| Mailing Address: | 1 Hickman St, GRANITEVILLE |
| State: | SC |
| Postal Code: | 298292955 |
| Phone Number: | 8036639224 |
| Fax Number: | 8036638893 |
| NPI Enumeration Date: | 10/06/2008 |
| NPI Last Update Date: | 10/06/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 3537 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |