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Individual

ASHLEY MORGAN KEATING GIBBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
2367 B CYPRESS CIRCLE, CONWAY, SC 29526-8921
(843) 349-1001
(843) 349-1008
Mailing address
300 SINGLETON RIDGE RD, ATTN PNS CREDENTIALING, CONWAY, SC 29526-9142
(843) 234-6946

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
18980
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NP2943
SC
Enumeration date
06/30/2012
Last updated
10/14/2022
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