Individual
MEGAN LEE GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2983 CHERRY GROVE RD, YANCEYVILLE, NC 27379-9196
(336) 421-9868
Mailing address
2983 CHERRY GROVE RD, YANCEYVILLE, NC 27379-9196
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT004591
PA
Other
Enumeration date
08/31/2009
Last updated
08/31/2009
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