Individual
SHELLI GIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
267 TREELAND DR, SUITE C, LADSON, SC 29456-3083
(843) 277-2240
Mailing address
267 TREELAND DR, SUITE C, LADSON, SC 29456-3083
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
20314
SC
Other
Enumeration date
09/13/2016
Last updated
09/13/2016
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