Gibson, Gregory L

Gibson, Gregory L is an individual health care provider with primary practice located at 3941 Highway 9 , Boiling Springs SC 29316-8578. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gibson, Gregory L can be contacted via phone (864) 560-3650.

Contact Information

Primary practice address
3941 Highway 9 Boiling Springs SC 29316-8578
Phone: (864) 560-3650
Fax: (864) 560-3675
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X SC22052 South Carolina

Profile Details

NPI number 1184695918
LBN Legal business name Gibson, Gregory L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Feb 27th, 2013 - about 13 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 1184695918 NPPES
North Carolina MEDICAID 89063TU
North Carolina MEDICAID T62571

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