Individual
MRS. CRISTIE ELVIN GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1730 KERNERSVILLE MEDICAL PKWY STE 104, KERNERSVILLE, NC 27284
(336) 765-5470
(336) 499-5428
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
103062
NC
Other
Enumeration date
06/01/2011
Last updated
08/03/2023
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