Gibson-Dalton, Cheryl Renee

Gibson-Dalton, Cheryl Renee is an sole proprietor health care provider with primary practice located at 1231 Eutaw St , Orangeburg SC 29115-3529. She recently has only one registered license in Nursing & Custodial Care Facilities / Adult Care Home, which is considered as her primary health care specialty. Gibson-Dalton, Cheryl Renee can be contacted via phone (803) 531-6534.

Contact Information

Primary practice address
1231 Eutaw St Orangeburg SC 29115-3529
Phone: (803) 531-6534
Fax: (803) 531-6534
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X RC1447 South Carolina

Profile Details

NPI number 1346634904
LBN Legal business name Gibson-Dalton, Cheryl Renee
Credentials PRESIDENT AND CEO
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 22nd, 2015
Last updated Mar 22nd, 2015 - about 11 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 1346634904 NPPES
South Carolina Other CRC1447 MEDICAID OSS

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