| NPI | 1528578143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID R GIBSON President 336-274-2520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine |
| 363AM0700X Physician Assistant, Medical | |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2017-10-10 |
| Last Update Date | 2017-10-10 |