Individual
MEGHAN MARIE GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
260 LONG RIDGE RD, STAMFORD, CT 06902-1638
(475) 619-6200
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-13133
NC
363A00000X
Physician Assistant
Primary
6423
CT
Other
Enumeration date
01/23/2023
Last updated
07/28/2024
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