Individual
THOMAS A HIBBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
665 TIMBER TRAIL, GOLD HILL, NC 28071
(704) 279-1199
(704) 279-7668
Mailing address
1118 WELLSTONE CIR, P O BOX 1257, APEX, NC 27502-3257
(919) 387-5948
(919) 387-7649
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1609852201
FACILITY NPI NUMBER
NC
05
—
6603028
—
NC
Enumeration date
01/16/2007
Last updated
07/09/2007
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