Warren Douglas Gibson

NPI #1528031101 in Conway, South Carolina

Provider Information

NPI Number
1528031101
Entity Type
Individual
Name
Warren Douglas Gibson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Prosthetic/Orthotic Supplier
Enumeration Date
Feb 13, 2006
Last Updated
Nov 8, 2007

Practice Location

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

Specialties & Taxonomy Codes

Specialty
Prosthetic/Orthotic Supplier

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