Provider Demographics
NPI:1033183124
Name:GILBERT, OSCEOLA P III (MD)
Entity Type:Individual
Prefix:DR
First Name:OSCEOLA
Middle Name:P
Last Name:GILBERT
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:PETE
Other - Middle Name:
Other - Last Name:GILBERT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:811 POPLAR SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:SC
Mailing Address - Zip Code:29693-3223
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:112 SURGICAL BLVD
Practice Address - Street 2:SUITE A
Practice Address - City:SENECA
Practice Address - State:SC
Practice Address - Zip Code:29672-6654
Practice Address - Country:US
Practice Address - Phone:864-885-0608
Practice Address - Fax:864-885-0676
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2020-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC11328174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist