Most Relevant Information
Provider Data
| NPI Number: | 1003823931 |
| Provider Name: | MARION LOGAN GIBBONS MD |
| Entity Type: | Individual |
| Taxonomy Code: | 208000000X |
| Specialty: | Pediatrics |
| License Number: | 18478 |
Most Important Dates
| Enumeration Date: | 08/02/2006 |
| Last Updated: | 09/22/2009 |
Provider Practice Location
1 MEDICAL PARK DRIVE
BUILDING 3, SUITE A
CHESTER
SC
297069769
Practice Location Phone/Fax
| Phone: | 8035812400 |
| Fax: | 8035812401 |
Provider Mailing Location
1 MEDICAL PARK DRIVE
BUILDING 3, SUITE A
CHESTER
SC
297069769
Provider Mailing Phone/Fax
| Phone: | 8035812400 |
| Fax: | 8035812401 |
Suggested EMR
Pediatrics EMR