Stanley, Courtney Gibbs

Stanley, Courtney Gibbs is an individual health care provider with primary practice located at 325 Mercy St , Lake City SC 29560-2331. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Stanley, Courtney Gibbs can be contacted via phone (843) 374-6256.

Contact Information

Primary practice address
325 Mercy St Lake City SC 29560-2331
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1297 South Carolina

Profile Details

NPI number 1205095809
LBN Legal business name Stanley, Courtney Gibbs
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2008
Last updated Jun 9th, 2008 - about 16 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 1205095809 NPPES
South Carolina Other 1297 STATE LICENSE #

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