Individual
STANLEY KEITH GILBERT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4140 FERNCREEK DR, SUITE 801, FAYETTEVILLE, NC 28314-2563
(910) 484-2171
(910) 484-4568
Mailing address
4140 FERNCREEK DR, SUITE 801, FAYETTEVILLE, NC 28314-2563
(910) 484-2171
(910) 484-4568
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
25025
NC
207X00000X
Orthopaedic Surgery Physician
MD.207799
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08473255
—
MS
05
—
1304484
—
LA
01
—
35462
BCBS INDIVIDUAL ID NUMBER
NC
05
—
8935462
—
NC
Enumeration date
02/15/2006
Last updated
12/09/2015
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