Individual
DR. JAMES G. GIBBS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
122 S COOK ST, BENNETTSVILLE, SC 29512-3244
(843) 454-1605
Mailing address
122 S COOK ST, BENNETTSVILLE, SC 29512-3244
(843) 454-1605
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
MD 2012-0064
NM
2084P0800X
Psychiatry Physician
Primary
MD 4932
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
327877
—
SC
05
—
405127
—
SC
Enumeration date
10/08/2008
Last updated
09/16/2014
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