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1124356399
STEPHANIE LEWIS GIBSON
COLUMBIA, SC
NPI
1124356399
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Former Name
STEPHANIE ABIGAIL LEWIS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: SC LL35801)
Enumeration Date
2009-11-30
Last Update Date
2021-04-01
Business Address
STEPHANIE LEWIS GIBSON M.D.
9 RICHLAND MEDICAL PARK DR
COLUMBIA, SC 29203-6859
Phone number: 803-434-6455
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Mailing Address
STEPHANIE LEWIS GIBSON M.D.
9 RICHLAND MEDICAL PARK DR STE 320
COLUMBIA, SC 29203-6845
Phone number: 803-733-5969
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