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Individual

DR. OTTO TREMOND GIBBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
169 ASHLEY AVE RM 202, CHARLESTON, SC 29425-1898
(843) 792-2300
Mailing address
169 ASHLEY AVE RM 202, CHARLESTON, SC 29425-1898
(843) 792-2300

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
LL85822
SC

Other

Enumeration date
06/27/2018
Last updated
07/01/2021
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