Individual
JOHN JOSEPH GIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
110 NAVAL NUCLEAR POWER TRAINING, GOOSE CREEK, SC 29445
(843) 794-6000
Mailing address
110 NAVAL NUCLEAR POWER TRAINING, GOOSE CREEK, SC 29445
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
OS022393
PA
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
OS022393
PA
Other
Enumeration date
03/16/2021
Last updated
03/26/2024
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