Individual
DR. JUSTIN GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
222 E MEDICAL LN STE 100 AND 200, WEST COLUMBIA, SC 29169-4847
(803) 935-8410
(803) 936-7816
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
(803) 935-8410
(803) 936-7816
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
92161
SC
Other
Enumeration date
03/21/2017
Last updated
03/17/2025
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