Organization
ESSENTIAL MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID R GIBSON (PRESIDENT)
(336) 274-2520
Entity
Organization
Contact information
Practice address
526 N ELAM AVE STE 101, GREENSBORO, NC 27403-1132
(336) 274-2520
Mailing address
526 N ELAM AVE STE 101, GREENSBORO, NC 27403-1132
(336) 274-2520
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
207Q00000X
Family Medicine Physician
—
—
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
10/10/2017
Last updated
10/10/2017
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