Individual
JAMES SAMUEL GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1830 S HAWTHORNE ROAD, WINSTON SALEM, NC 27103-4047
(336) 448-2427
(336) 765-2869
Mailing address
1830 S HAWTHORNE ROAD, WINSTON SALEM, NC 27103-4047
(336) 448-2427
(336) 765-2869
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
18871
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2901096
UNITED HEALTHCARE
—
01
—
35258
BLUE CROSS BLUE SHIELD
—
05
—
89-35258
—
NC
Enumeration date
08/18/2006
Last updated
01/22/2016
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