Individual
MICHAEL THOMAS GIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3 RICHLAND MEDICAL PARK DR STE 330, COLUMBIA, SC 29203-6862
(864) 695-6697
Mailing address
300 E MCBEE AVE FL 4, FL 4, GREENVILLE, SC 29601-2842
(864) 695-6697
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
LL52673
SC
2086S0129X
Vascular Surgery Physician
Primary
95312
SC
Other
Enumeration date
06/14/2018
Last updated
09/09/2025
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