person
Latoya D Gibson
Gerontology Nurse Practitioner in Greenwood, South Carolina
NPI 1841898038

Latoya D Gibson is a Gerontology Nurse Practitioner based in Greenville, SC and is specialized in Gerontology. Latoya D Gibson practices in Greenwood, SC. The NPI Number for Latoya D Gibson is 1841898038 and holds a License No. 24285 (South Carolina).

The current practice location address for Latoya D Gibson is 105 Vinecrest Ct # 300, Greenwood, SC and can be reached out via phone at 864-223-6625 and via fax at 864-223-9245.

Location: 105 Vinecrest Ct # 300, Greenwood, SC, 29601-2842
person
Provider Profile Details
NPI Number
1841898038
Provider Name
Latoya D Gibson
Credential
Provider Entity Type
Individual
Gender
Female
Address
105 Vinecrest Ct # 300, Greenwood, SC, 29601-2842
Phone Number
864-223-6625
Fax Number
864-223-9245
Provider Enumeration Date
10/12/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NP7302 05 SC
institution
Provider Business Practice Location Address Details
Address
105 Vinecrest Ct # 300
City
State
Zip
29646-8031
Phone Number
864-223-6625
Fax Number
864-223-9245
person
Provider Business Mailing Address Details
Address
105 Vinecrest Ct # 300
City
State
Zip
29646-8031
Phone Number
864-223-6625
Fax Number
864-223-9245
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
24285 (South Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
24285 (South Carolina)
Definition
Definition to come...
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