Carla A Gibson-detering (NPI# 1164483343, PAC ID# 2163411661) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1164483343 |
| PAC ID by PECOS | 2163411661 |
| Professional Enrollment ID | I20041112001021 |
| Full Name | Carla A Gibson-detering |
| Organization Legal Name | ADVANCE BEHAVIORAL MEDICINE. LLC |
| Address |
1626 Cranium Dr Suite 101 Rock Hill SC 29732-3552 |
| Phone Number | 8033274357 |
| Gender | F |
| Credential | NP |
| Medical School | UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1951362102 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1626 Cranium Dr, Suite 101, Rock Hill, SC 29732-3552 | 8033274357 | ADVANCE BEHAVIORAL MEDICINE. LLC |
| Organization Legal Name | ADVANCE BEHAVIORAL MEDICINE. LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Delfin Valite | Psychiatry | Advance Behavioral Medicine. LLC | 1626 Cranium Dr, Suite 101, Rock Hill, SC 29732-3552 |
| Chakun T Mcdaniel | Nurse Practitioner | Advance Behavioral Medicine. LLC | 1626 Cranium Dr, Suite 101, Rock Hill, SC 29732-3552 |
| Street Address |
1626 CRANIUM DR SUITE 101 |
| City | ROCK HILL |
| State | SC |
| Zip | 29732-3552 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Delfin Valite | Psychiatry | Advance Behavioral Medicine. LLC | 1626 Cranium Dr, Suite 101, Rock Hill, SC 29732-3552 |
| Chakun T Mcdaniel | Nurse Practitioner | Advance Behavioral Medicine. LLC | 1626 Cranium Dr, Suite 101, Rock Hill, SC 29732-3552 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Carl Cedarholm | Interventional Cardiology | Carolinas Physicians Network Inc | 1656 Riverchase Blvd, Suite 2500, Rock Hill, SC 29732-0269 |
| Crystal Rachelle Vaglia | Nurse Practitioner | Carolinas Physicians Network Inc | 1656 Riverchase Blvd, Suite 2500, Rock Hill, SC 29732-0269 |
| Robert J Hosker | Diagnostic Radiology | Charlotte Radiology Pa | 1656 Riverchase Blvd, Suite 1200, Rock Hill, SC 29732-0270 |
| Hyonah Kim | Diagnostic Radiology | Charlotte Radiology Pa | 1656 Riverchase Blvd, Suite 1200, Rock Hill, SC 29732-0270 |
| Nathan Patrick Fergus | Diagnostic Radiology | Charlotte Radiology Pa | 1656 Riverchase Blvd, Suite 1200, Rock Hill, SC 29732-0270 |
| Rickin Shah | Diagnostic Radiology | Charlotte Radiology Pa | 1656 Riverchase Blvd, Suite 1200, Rock Hill, SC 29732-0270 |
| Brian Alan Perry | Diagnostic Radiology | Charlotte Radiology Pa | 1656 Riverchase Blvd, Suite 1200, Rock Hill, SC 29732-0270 |
| Kelly Clifford | Diagnostic Radiology | Charlotte Radiology Pa | 1656 Riverchase Blvd, Suite 1200, Rock Hill, SC 29732-0270 |
| James Essenberg | Diagnostic Radiology | Charlotte Radiology Pa | 1656 Riverchase Blvd, Suite 1200, Rock Hill, SC 29732-0270 |
| Richard D Redvanly | Diagnostic Radiology | Charlotte Radiology Pa | 1656 Riverchase Blvd, Suite 1200, Rock Hill, SC 29732-0270 |
| Find all physicians in zip 29732 | |||
| City | ROCK HILL |
| Zip Code | 29732 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | ROCK HILL + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Carla A Gibson-detering.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.