Individual
ROSE DELORES GIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
106 W MAIN ST, MONCKS CORNER, SC 29461
(843) 761-1995
(843) 761-3257
Mailing address
106 W MAIN ST, MONCKS CORNER, SC 29461
(843) 761-1995
(843) 761-3257
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
7042
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RHC038
—
SC
Enumeration date
07/03/2006
Last updated
05/03/2016
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