Individual
DR. JOHN MCNEIL GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16455 STATESVILLE RD, SUITE 200, HUNTERSVILLE, NC 28078-7135
(704) 302-8600
(704) 302-8650
Mailing address
PO BOX 601643, CHARLOTTE, NC 28260-1643
(704) 302-8600
(704) 302-8650
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
17964
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8935324
—
NC
05
—
N17964
—
SC
Enumeration date
07/26/2006
Last updated
11/09/2013
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