person
Mykenzi Gibbs, PA-C
Medical Physician Assistant in Columbia, South Carolina
NPI 1053733394

Mykenzi Gibbs is a Medical Physician Assistant based in Columbia, SC and is specialized in Medical. Mykenzi Gibbs practices in Columbia, SC and has the professional credentials of PA-C. The NPI Number for Mykenzi Gibbs is 1053733394 and holds a License No. 2021 (South Carolina).

The current practice location address for Mykenzi Gibbs is 8 Richland Medical Park Dr Ste 100, Columbia, SC and can be reached out via phone at 803-434-3800 and via fax at 803-744-2759.

Location: 8 Richland Medical Park Dr Ste 100, Columbia, SC, 29229-7359
person
Provider Profile Details
NPI Number
1053733394
Provider Name
Mykenzi Gibbs
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
8 Richland Medical Park Dr Ste 100, Columbia, SC, 29229-7359
Phone Number
803-434-3800
Fax Number
803-744-2759
Provider Enumeration Date
01/06/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2089PA 05 SC
institution
Provider Business Practice Location Address Details
Address
8 Richland Medical Park Dr Ste 100
City
State
Zip
29203-8006
Phone Number
803-434-3800
Fax Number
803-744-2759
person
Provider Business Mailing Address Details
Address
8 Richland Medical Park Dr Ste 100
City
State
Zip
29203-8006
Phone Number
803-434-3800
Fax Number
803-744-2759
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
2021 (South Carolina)
Definition
Definition to come...
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