Male or Other

Dr. Sean L. Gibbs M.D.

Family Medicine Physician in Myrtle Beach, SC(View on Map)

Full Name

Dr. Sean L. Gibbs M.D.

NPI Number

1215010020

NPI Type

Individual Provider

Gender

Male

Enumeration Date

10/23/2006

Specialties

(Taxonomies)

Code

207Q00000X

Primary Taxonomy

Yes

Licenses

State

South Carolina

License Number

28519

Contact
Information

Purpose

Mailing
Location

Address

920 DOUG WHITE DR STE 250
920 DOUG WHITE DR STE 250

City

Myrtle Beach
Myrtle Beach

State

SC
SC

Postal Code

29572-4181
29572-4181

Country

US
US

Telephone Number

(843) 848-4640
(843) 848-4640

Identifiers

Identifier

GROUPGP3744

Identifier State

SC

Identifier Issuer

Unknown

Health Information Exchange

Endpoint Type

DIRECT

Endpoint

SEAN.GIBBS@hca5.eclinicaldirectplus.com

Endpoint Description

Unknown

Use

Unknown

Content Type

Unknown

Affiliation

N

Endpoint Location

920 Doug White Dr Ste 250Myrtle Beach, SC295724181US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 01/31/2022

Provider Address

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