Individual
GLORIA H GIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2847 BAYWOOD DR, JOHNS ISLAND, SC 29455-6133
(708) 558-8572
Mailing address
PO BOX 12037, CHARLESTON, SC 29422-2037
(843) 532-0094
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/16/2019
Last updated
09/16/2019
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