Healthcare Provider Details

I. General information

NPI: 1699238477
Provider Name (Legal Business Name): GIBBS INVESTING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2019
Last Update Date: 04/09/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 RUSTCRAFT DR
GREER SC
29651-5398
US

IV. Provider business mailing address

105 RUSTCRAFT DR
GREER SC
29651-5398
US

V. Phone/Fax

Practice location:
  • Phone: 864-561-6767
  • Fax:
Mailing address:
  • Phone: 864-561-6767
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: MR. RAYMOND DOUGLAS GIBBS JR.
Title or Position: OWNER
Credential:
Phone: 864-561-6767