Organization
BERKELEY MEDICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSE D. GIBBS (MEDICAL DOCTOR)
(843) 761-1995
Entity
Organization
Contact information
Practice address
106 W MAIN ST, MONCKS CORNER, SC 29461-2601
(843) 761-1995
(843) 761-3257
Mailing address
106 W MAIN ST, MONCKS CORNER, SC 29461-2601
(843) 761-1995
(843) 761-3257
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RHC038
—
SC
Enumeration date
11/14/2007
Last updated
03/28/2016
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