Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Gaston

Individual provider Specialist · NPI 1063819746

Mary Gaston is a Specialist in North Charleston, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.

Licensed in
SC
In the registry since
2014
Specialties on file
2

Practice location Address checks out

4401 Belle Oaks Dr
North Charleston, SC 29405-8537
Phone: (803) 374-6255
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 3828 (SC)
Specialist Taxonomy 174400000X · Licence 3828 (SC)

Record details

NPI number1063819746
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 25, 2014
Last updated in NPPESJanuary 19, 2022
Certification dateJanuary 19, 2022

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