Croft, Jory Gibbons

Croft, Jory Gibbons is an individual health care provider with primary practice located at Aiken Specialty Services 209 Abbeville Ave Nw, Aiken SC 29801. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Croft, Jory Gibbons can be contacted via phone (803) 306-1433.

Contact Information

Primary practice address
Aiken Specialty Services 209 Abbeville Ave Nw Aiken SC 29801
Phone: (803) 306-1433
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1896 South Carolina

Profile Details

NPI number 1245570613
LBN Legal business name Croft, Jory Gibbons
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2013
Last updated Jan 11th, 2024 - about 11 months 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 1245570613 NPPES
South Carolina Other 1896 SC MEDICAL BOARD LICENSE NUMBER
South Carolina MEDICAID 1646PA SC MEDICAL BOARD LICENSE NUMBER

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