Individual
DR. TODD MATTHEW GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AU.D.
Contact information
Practice address
5315B SUNSET BLVD, LEXINGTON, SC 29072-9159
(803) 808-9611
Mailing address
329 GLENEAGLE CIR, IRMO, SC 29063-8433
(803) 407-7309
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
3435
SC
Other
Enumeration date
05/28/2007
Last updated
07/08/2007
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