Individual
MR. WILLIE GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6113 BLUE LANTERN RD, GIBSONVILLE, NC 27249-8737
(336) 274-1269
(336) 272-2387
Mailing address
2302 W MEADOWVIEW RD STE 208, GREENSBORO, NC 27407-3706
(336) 274-1269
(336) 272-2387
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
11/06/2023
Last updated
05/29/2024
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