Gibbs, James G.

Gibbs, James G. is an individual health care provider with primary practice located at 122 S Cook St , Bennettsville SC 29512-3244. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Gibbs, James G. can be contacted via phone (843) 454-1605.

Contact Information

Primary practice address
122 S Cook St Bennettsville SC 29512-3244
Phone: (843) 454-1605
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD 4932 South Carolina
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD 2012-0064 New Mexico

Profile Details

NPI number 1104077148
LBN Legal business name Gibbs, James G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 8th, 2008
Last updated Sep 16th, 2014 - about 12 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 1104077148 NPPES
South Carolina MEDICAID 405127
South Carolina MEDICAID 327877

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