Gibbs, Rose Delores

Gibbs, Rose Delores is an sole proprietor health care provider with primary practice located at 106 W Main St , Moncks Corner SC 29461. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Gibbs, Rose Delores can be contacted via phone (843) 761-1995.

Contact Information

Primary practice address
106 W Main St Moncks Corner SC 29461
Fax: (843) 761-3257
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 7042 South Carolina

Profile Details

NPI number 1548299159
LBN Legal business name Gibbs, Rose Delores
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 3rd, 2006
Last updated May 3rd, 2016 - about 8 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 1548299159 NPPES
South Carolina MEDICAID RHC038

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