Individual
MRS. ANNA KATHERINE GIBBONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
107 HIGHWAY 57 N, LITTLE RIVER, SC 29566-7050
(843) 915-5654
Mailing address
4352 WINDY HEIGHTS DR, NORTH MYRTLE BEACH, SC 29582-5190
(864) 245-5428
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
103971
SC
Other
Enumeration date
10/07/2019
Last updated
10/07/2019
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