Gibbons, Gregory R

Gibbons, Gregory R is an individual health care provider with primary practice located at 114 Brady Ct , Cary NC 27511-4554. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gibbons, Gregory R can be contacted via phone (919) 469-1252.

Contact Information

Primary practice address
114 Brady Ct Cary NC 27511-4554
Fax: (919) 469-1373
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X North Carolina

Profile Details

NPI number 1992778013
LBN Legal business name Gibbons, Gregory R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992778013 NPPES
North Carolina MEDICAID 891259K

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