Warren D. Gibson

NPI 1508057779 - Prosthetic/Orthotic Supplier - 335E00000X

NPI Details
NPI 1508057779
Enumeration Date 08/05/2007
Last Updated 06/30/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name WARREN D WARREN
Position PRATITIONER
Phone (843) 347-7281
Fax (843) 347-9785
Practice Location
1629 HIGHWAY 544
CONWAY SC, 29526-8452, US
Phone (843) 347-7281
Fax (843) 347-9785
Business Location
1629 HIGHWAY 544
CONWAY SC, 29526-8452, US
Phone (843) 347-7281
Fax (843) 347-9785
Toxanomy
Taxonomy Code 335E00000X
License State
License Number
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According to our database, Warren D. Gibson NPI is 1508057779, taxonomy code is 335E00000X Warren D. Gibson physically located at 1629 Highway 544, Conway SC, 29526-8452. NPI Number 1033115704 has the healthcare provider type.

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1508057779 NPI number is provided on an as is basis without warranty of any kind. 1508057779 is maintained by the National Plan & Provider Enumeration System. The contents of Warren D. Gibson are for informational purposes only.