Gibble, Timothy Pius

Gibble, Timothy Pius is an individual health care provider with primary practice located at 500 Lauchwood Dr , Laurinburg NC 28352-5501. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Gibble, Timothy Pius can be contacted via phone (910) 291-6904.

Contact Information

Primary practice address
500 Lauchwood Dr Laurinburg NC 28352-5501
Fax: (910) 291-6907
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 24654 North Carolina
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 24654 North Carolina

Profile Details

NPI number 1386604064
LBN Legal business name Gibble, Timothy Pius
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2006
Last updated Oct 25th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386604064 NPPES
South Carolina MEDICAID N24654
South Carolina MEDICAID 8935040
South Carolina MEDICAID 1386604064

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