Individual
MRS. ALICIA A. GIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
735 PINE RIDGE DR, WEST COLUMBIA, SC 29172-1831
(803) 755-7409
(803) 755-7449
Mailing address
735 PINE RIDGE DR, WEST COLUMBIA, SC 29172-1831
(803) 755-7409
(803) 755-7449
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN37208
SC
Other
Enumeration date
05/29/2013
Last updated
05/29/2013
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