Individual
JAMES EMANUEL GIBBS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
371 WHITNEY RD, SPARTANBURG, SC 29303-3143
(864) 515-0485
Mailing address
415 N GRAND AVE, PUEBLO, CO 81003-3111
(719) 546-3333
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2409
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
446958
—
SC
Enumeration date
05/05/2006
Last updated
07/09/2007
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