Individual
DONNA GIBSON MARCENGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2000 E GREENVILLE ST STE 2000, ANDERSON, SC 29621-1720
(864) 512-5955
(864) 512-5957
Mailing address
PO BOX 100174, COLUMBIA, SC 29202-3174
(864) 512-5955
(864) 512-5957
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
19783
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP3548
—
SC
Enumeration date
10/15/2015
Last updated
09/11/2023
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