Individual
CARYN GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
325 WINDING RIVER LN, SUITE 102, CHARLOTTESVILLE, VA 22911-3568
(434) 817-2442
Mailing address
325 WINDING RIVER LN, SUITE 102, CHARLOTTESVILLE, VA 22911-3568
(434) 817-2442
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110003094
VA
Other
Enumeration date
09/20/2012
Last updated
09/20/2012
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