MYKENZI GIBBS, PA-C
Physician Assistant - Medical
Active
Individual
NPI: 1053733394
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | No | 8248-23 (WI) |
| Physician Assistant - Medical | 363AM0700X | Yes | 2021 (SC) |
Frequently Asked Questions
NPI 1053733394 is the National Provider Identifier for MYKENZI GIBBS, PA-C, a Physician Assistant - Medical provider located in Columbia, SC. This NPI was enumerated on January 6, 2014.
MYKENZI GIBBS, PA-C practices at 8 RICHLAND MEDICAL PARK DR STE 100, Columbia, SC 29203.
Quick Facts
- NPI
- 1053733394
- Type
- Individual
- Enumerated
- Jan 6, 2014
- Last Updated
- Feb 4, 2025
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