Marion Logan Gibbons
Pediatrician
1 Medical Park Drive Building 3, Suite A
Chester
, South Carolina 29706-9769
Marion Logan Gibbons
Pediatrician
1 Medical Park Drive Building 3, Suite A
Chester
, South Carolina 29706-9769
(803) 581-2401
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About
Features
Specialties
- Pediatrician
Languages spoken
- English
Location
First Address
- Marion Logan Gibbons
- 1 Medical Park Drive Building 3, Suite A
- Chester, SC
- Zip : 29706-9769
- Fax : (803) 581-2401
- Phone : (803) 581-2400
Second Address
- Marion Logan Gibbons
- 1 Medical Park Drive Building 3, Suite A
- Chester, SC
- Zip : 29706-9769
- Fax : (803) 581-2401
- Phone : (803) 581-2400
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | 18478 | SC |
National Provider Identifier
| NPI | 1003823931 |
|---|---|
| Provider Name | Marion Logan Gibbons |
| First Address | Chester, SC 29706-9769 |
| Second Address | Chester, SC 29706-9769 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/08/2006 |
| Last Update Date | 22/09/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 184785 | (05) | SC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.