Individual
MARGARET GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMF, CFM, CDME, COF
Contact information
Practice address
2900 ARENDELL ST STE 6, MOREHEAD CITY, NC 28557-3393
(252) 622-4506
(252) 622-4512
Mailing address
2900 ARENDELL ST, SUITE 6, MOREHEAD CITY, NC 28557-3318
(252) 622-4506
(252) 622-4512
Taxonomy
Speciality
Code
Description
License number
State
224900000X
Mastectomy Fitter
Primary
C51971
NC
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
C51971
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03040
ABC CERTIFIED FITTER OF MASTECTOMY
NC
01
—
C51971
BOC CERTIFIED ORTHOTIC FITTER
NC
Enumeration date
03/13/2015
Last updated
07/21/2022
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