Individual
BARRY GIBNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-2360
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
248571
MA
208600000X
Surgery Physician
DO40706
SC
208600000X
Surgery Physician
OT012020
PA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
40706
SC
Other
Enumeration date
04/23/2007
Last updated
07/21/2022
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