Individual
MR. BARRY CHARLES GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
100 BREWSTER BLVD, NH CAMP LEJEUNE, CAMP LEJEUNE, NC 28542
(910) 451-0579
Mailing address
101 PENQUIN PL, HAMPSTEAD, NC 28443-3746
(910) 330-3709
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
08/28/2008
Last updated
08/28/2008
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