Individual
CALVIN GIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2611 FOREST DR, SUITE 103 OFFICE 116, COLUMBIA, SC 29204-2379
(803) 212-1055
Mailing address
PO BOX 5141, WEST COLUMBIA, SC 29171-5141
(803) 212-1055
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
—
—
Other
Enumeration date
01/09/2009
Last updated
09/24/2009
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