Individual
GRACE AHARESE GBIGBI-JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD.
Contact information
Practice address
805 PAMPLICO HWY, FLORENCE, SC 29505-6047
(843) 792-1414
Mailing address
805 PAMPLICO HWY, FLORENCE, SC 29505-6047
(843) 792-1414
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
LL95547
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/07/2025
Last updated
09/01/2025
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