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Contact Information

MICHAEL T GIBBONS, MD
3 RICHLAND MEDICAL PARK DR STE 330
COLUMBIA, SC29203-6862
 Phone: 864-695-6697
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MICHAEL T GIBBONS · (Male)

NPI Number 1801389788
Status Active
Credentials MD
Entity Individual
Enumeration date 06/14/2018
Last updated 09/09/2025 - About 9 months ago
Sole proprietor 1 No
Identifiers
  • SC License # 95312
  • SC License # LL52673
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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