Individual
DR. CHARLES LARRY GIBBS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DACM, L.AC.
Contact information
Practice address
13214 FOUNTAIN HEAD PLZ, HAGERSTOWN, MD 21742-2678
(301) 766-9293
Mailing address
1302 AMBER CREEK RD UNIT 54, CROFTON, MD 21114-1938
(615) 618-0443
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
U02716
MD
Other
Enumeration date
07/29/2021
Last updated
07/29/2021
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