Individual
SPENCER GIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
155 ACADEMY AVE, GREENWOOD, SC 29646-3869
(864) 725-4111
Mailing address
1009 GRACE ST, GREENWOOD, SC 29649-2137
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
LL94734
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/26/2024
Last updated
07/14/2025
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