Organization
GIBSON CHIROPRACTIC CENTER, PLLC
Active
Other names
RTP Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
LUKE GIBSON D.C. (DOCTOR/OWNER)
(919) 757-4410
Entity
Organization
Contact information
Practice address
101 LATTNER CT, SUITE 301, MORRISVILLE, NC 27560-6843
(919) 757-4410
(919) 200-7104
Mailing address
101 LATTNER CT, SUITE 301, MORRISVILLE, NC 27560-6843
(919) 757-4410
(919) 200-7104
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4211
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NC7425A
MEDICARE PTAN
NC
Enumeration date
09/02/2016
Last updated
09/02/2016
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