Individual
DR. CAROLINE L GIBBES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2601 LAUREL ST STE 110, COLA, SC 29204
(803) 256-7494
(803) 799-0746
Mailing address
2601 LAUREL ST STE 110, COLUMBIA, SC 29204
(803) 256-7494
(803) 799-0746
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
9205
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
092054 PC1477
—
SC
Enumeration date
06/01/2006
Last updated
06/22/2010
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