Individual
DR. GREGORY L GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3941 HIGHWAY 9, BOILING SPRINGS, SC 29316-8578
(864) 560-3650
(864) 560-3675
Mailing address
PO BOX 2168, SPARTANBURG, SC 29304-2168
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
SC22052
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89063TU
—
NC
05
—
T62571
—
SC
Enumeration date
01/30/2006
Last updated
02/27/2013
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