Larry Elisha Gibson in Macon - Orthopedic
Larry Elisha Gibson - NPI 1093830549
Larry Elisha Gibson is a Orthopedic in Macon, Georgia. Larry Elisha Gibson practices all healthcare services and medical treatments related to Orthopedic. The NPI Number for Larry Elisha Gibson is 1093830549. The last update date is 2010-05-27.
Larry Elisha Gibson's current location address is 3333 Northside Dr, Macon, Georgia. You can contact this provider via phone number 4784774415. The mailing address for Larry Elisha Gibson is 3333 Northside Dr, Macon, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry Elisha Gibson |
|---|---|
| Address | 3333 Northside Dr, Macon, Georgia |
| Phone Number | 4784774415 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1093830549 |
|---|---|
| Provider Enumeration Date | 2007-03-20 |
| Last Updated Date | 2010-05-27 |
Provider Mailing Address Detail
| Address | 3333 Northside Dr |
|---|---|
| City | Macon |
| State | Georgia (GA) |
| Post Code | 312102588 |
| Phone Number | 4784774415 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Orthopedic |
|---|---|
| Taxonomy | 111Nx0800X |
| Licence No | CHIR001656 |
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Definition: Chiropractic Orthopedics is defined as that branch of chiropractic medicine that includes the continued acquisition of knowledge relative to both normal functions and diseases of the human body as they relate to the bones, joints, capsules, discs, mu |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 202I354140 | GA | MEDICARE PTAN |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Larry Elisha Gibson by the Centers for Medicare & Medicaid Services?
The Larry Elisha Gibson has been assigned the NPI (National Provider Identifier) 1093830549 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Larry Elisha Gibson?
The Larry Elisha Gibson is situated at 3333 Northside Dr, in the city of Macon, state of GA, with the zip code 312102588.
What is Larry Elisha Gibson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Larry Elisha Gibson is Orthopedic, and the taxonomy code that classifies this field of practice is 111Nx0800X.
On what date did the Larry Elisha Gibson receive the assignment of its 1093830549 from the Centers for Medicare & Medicaid Services?
The Larry Elisha Gibson was issued its 1093830549 by the Centers for Medicare & Medicaid Services on 2007-03-20.
As of what date were the details pertaining to Larry Elisha Gibson last refreshed?
The information related to the Larry Elisha Gibson, including its address, specialty, and other relevant details, was last updated on 2010-05-27.