Organization
SGKF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN GIBERT MD (PRESIDENT)
(843) 801-4005
Entity
Organization
Contact information
Practice address
764 SAINT ANDREWS BLVD, CHARLESTON, SC 29407-7168
(843) 801-4005
Mailing address
764 SAINT ANDREWS BLVD, CHARLESTON, SC 29407-7168
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
22773
SC
Other
Enumeration date
07/17/2017
Last updated
07/17/2017
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