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Individual

JACOB GIBSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
8 RICHLAND MEDICAL PARK DR STE 100, COLUMBIA, SC 29203-8006
(803) 434-3800
Mailing address
8 RICHLAND MEDICAL PARK DR STE 100, COLUMBIA, SC 29203-8006

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
04/22/2026
Last updated
04/22/2026
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