Stephanie Lewis Gibson, M.D.
Pediatrics in Columbia, SC. Individual provider (NPI-1).
NPI number1124356399
StatusActive
Last updated in NPPESApr 1, 2021
Details
- NPI
- 1124356399
- Entity type
- Individual (NPI-1)
- Name
- Stephanie Lewis Gibson
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 30, 2009
- Certification date
- Mar 31, 2021
- Last updated
- Apr 1, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | LL35801 | SC | Yes |
Other names
- Stephanie Abigail Lewis (Former Name)
Practice location
9 Richland Medical Park DrColumbia, SC 29203-6859
Phone 803-434-6455
Mailing address
9 Richland Medical Park Dr Ste 320Columbia, SC 29203-6845
Phone 803-733-5969 · Fax 803-753-5591
Other practice locations
500 N 12th St
West Columbia, SC 29169-6502
West Columbia, SC 29169-6502
Phone 803-217-0415 · Fax 803-939-1650
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