Organization Name: | DOCTORS CARE SC, PA |
NPI Number: | 1205292885 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | THOMAS E GIBBONS (MEDICAL DIRECTOR/PRESIDENT) |
Mailing Address: | 1795 N Highway 17 Building #7 Mt Pleasant |
State: | SC US |
Postal Code: | 294643631 |
Phone Number: | 8437379399 |
Fax Number: | 8437379399 |
NPI Enumeration Date: | 01/12/2016 |
NPI Last Update Date: | 01/12/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |