Gibson, Latoya D

Gibson, Latoya D is an individual health care provider with primary practice located at 105 Vinecrest Ct # 300 , Greenwood SC 29646-8031. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Gibson, Latoya D can be contacted via phone (864) 223-6625.

Contact Information

Primary practice address
105 Vinecrest Ct # 300 Greenwood SC 29646-8031
Phone: (864) 223-6625
Fax: (864) 223-9245
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 24285 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 24285 South Carolina

Profile Details

NPI number 1841898038
LBN Legal business name Gibson, Latoya D
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2020
Last updated Jan 22nd, 2024 - about last year

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 1841898038 NPPES
South Carolina MEDICAID NP7302

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