Provider Demographics
NPI:1750610457
Name:KIRBY, ABBIE FLOYD (PA)
Entity type:Individual
Prefix:MRS
First Name:ABBIE
Middle Name:FLOYD
Last Name:KIRBY
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:115 N SUMTER ST
Mailing Address - Street 2:STE 400
Mailing Address - City:SUMTER
Mailing Address - State:SC
Mailing Address - Zip Code:29150-4972
Mailing Address - Country:US
Mailing Address - Phone:803-436-5974
Mailing Address - Fax:803-436-5975
Practice Address - Street 1:115 N SUMTER ST
Practice Address - Street 2:STE 400
Practice Address - City:SUMTER
Practice Address - State:SC
Practice Address - Zip Code:29150-4972
Practice Address - Country:US
Practice Address - Phone:803-436-5974
Practice Address - Fax:803-436-5975
Is Sole Proprietor?:No
Enumeration Date:2009-12-09
Last Update Date:2021-01-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
SCPA 1465363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical