Individual
TARYN K GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
818 E MAIN ST, SPARTANBURG, SC 29302-2000
(864) 363-7932
Mailing address
818 E MAIN ST, SPARTANBURG, SC 29302-2000
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-303944
SC
Other
Enumeration date
08/09/2021
Last updated
08/09/2021
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