Warren D. Gibson

NPI #1508057779 in Conway, South Carolina

Provider Information

NPI Number
1508057779
Entity Type
Organization
Organization Name
Warren D. Gibson
Primary Specialty
Prosthetic/Orthotic Supplier
Enumeration Date
Aug 5, 2007
Last Updated
Jun 30, 2008

Practice Location

Address
1629 HIGHWAY 544
City
Conway
ZIP Code
29526-8452
Phone
(843) 347-7281

Authorized Official

Name
MR. WARREN D GIBSON
Title
PRATITIONER
Phone
(843) 347-7281

Specialties & Taxonomy Codes

Specialty
Prosthetic/Orthotic Supplier

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