Individual
RAYNELL GIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
211 PAIGE POINT RD, SHELDON, SC 29941
(843) 322-1871
Mailing address
PO BOX 357, RIDGELAND, SC 29936-2605
(843) 322-1871
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
36327
SC
Other
Enumeration date
09/22/2015
Last updated
07/03/2019
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