Individual
DEMETRA S. GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-9252
(336) 716-0030
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-9252
(336) 716-0030
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.136143
OH
208M00000X
Hospitalist Physician
Primary
2023-02624
NC
Other
Enumeration date
06/13/2013
Last updated
10/10/2023
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