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Individual

GEOFFREY TIBBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CO, CPA

Contact information

Practice address
1345 WESTGATE CENTER DR STE B, WINSTON SALEM, NC 27103-3041
(336) 546-7165
(866) 403-2483
Mailing address
1345 WESTGATE CENTER DR STE B, WINSTON SALEM, NC 27103-3041
(336) 546-7165
(866) 403-2483

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1497158554
NC
Enumeration date
04/07/2016
Last updated
02/01/2023
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