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Dixie Gibson

NPI 1598008773 · on the registry since 2013 · sole proprietor

Practice

Address
514 Lee St
Johnston, SC 29832
Phone
(803) 275-1755
Fax
(803) 275-1785

Registry record

Primary taxonomy
251300000X
251300000X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-04-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina