Gibbs, Susanna Maria

Gibbs, Susanna Maria is an sole proprietor health care provider with primary practice located at 124 Mallard St , Greenville SC 29601-4046. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Gibbs, Susanna Maria can be contacted via phone (864) 241-1040.

Contact Information

Primary practice address
124 Mallard St Greenville SC 29601-4046
Phone: (864) 241-1040
Fax: (864) 241-1049
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 99702 South Carolina

Profile Details

NPI number 1013182252
LBN Legal business name Gibbs, Susanna Maria
Credentials REGISTERED NURSE
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 29th, 2008
Last updated Jan 25th, 2011 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1013182252 NPPES
South Carolina MEDICAID 301100

Popular Providers