Individual
SCOTT W GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
160 ACADEMY AVE, GREENWOOD, SC 29646-3808
(864) 223-8090
(864) 223-4026
Mailing address
160 ACADEMY AVE, GREENWOOD, SC 29646-3808
(864) 223-8090
(864) 223-4026
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
47438-020
WI
208600000X
Surgery Physician
Primary
85386
SC
Other
Enumeration date
06/15/2006
Last updated
12/27/2021
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