Gibbons, Thomas E

Gibbons, Thomas E is an individual health care provider with primary practice located at 811 W Main St , Lexington SC 29072-2507. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Gibbons, Thomas E can be contacted via phone (803) 749-0924.

Contact Information

Primary practice address
811 W Main St Lexington SC 29072-2507
Phone: (803) 749-0924
Fax: (803) 407-4101
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 10877 South Carolina

Profile Details

NPI number 1316908643
LBN Legal business name Gibbons, Thomas E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Oct 27th, 2020 - about 4 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 1316908643 NPPES
South Carolina MEDICAID 108779

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