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:
Health care specialties
Specialty | Code | License # | 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 10 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1104077148 | NPPES |
South Carolina | MEDICAID | 405127 | |
South Carolina | MEDICAID | 327877 |
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