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Individual

CLYDE CALVIN GILBERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1236 HUFFMAN MILL RD, STE 2000, BURLINGTON, NC 27215-8700
(336) 585-1770
Mailing address
PO BOX 1832, BURLINGTON, NC 27216-1832
(336) 585-1770

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
132276
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
51257
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8051452
NC
Enumeration date
01/19/2006
Last updated
03/13/2009
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