Individual
HEATHER GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
105 JACKIE AVE, ARCHDALE, NC 27263-3385
(336) 688-7858
Mailing address
105 JACKIE AVE, ARCHDALE, NC 27263-3385
(336) 688-7858
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
NC
Other
Enumeration date
02/18/2026
Last updated
02/18/2026
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