Calvin Gibbs
Orthotic Fitter in Columbia, SC. Individual provider (NPI-1).
NPI number1245477488
StatusActive
Last updated in NPPESSep 24, 2009
Details
- NPI
- 1245477488
- Entity type
- Individual (NPI-1)
- Name
- Calvin Gibbs
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 9, 2009
- Last updated
- Sep 24, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225000000X | Orthotic Fitter | – | – | Yes |
Practice location
2611 Forest DrSuite 103 Office 116
Columbia, SC 29204-2379
Phone 803-212-1055
Mailing address
Po Box 5141West Columbia, SC 29171-5141
Phone 803-212-1055
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