| Gibson Cc | |
|
1200 Pine Run Dr Lumberton NC 28358-2180 | |
| (910) 737-6418 | |
| (910) 671-5732 |
| Full Name | Gibson Cc |
|---|---|
| Speciality | Surgery - Surgical Oncology |
| Location | 1200 Pine Run Dr, Lumberton, North Carolina |
| Authorized Official Name and Position | Charles Thomas Johnson (CHIEF REIMBURSMENT OFFICER) |
| Authorized Official Contact | 9106715083 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gibson Cc 300 W 27th St Lumberton NC 28358-3075 Ph: (910) 671-5290 | Gibson Cc 1200 Pine Run Dr Lumberton NC 28358-2180 Ph: (910) 737-6418 |
| NPI Number | 1912337684 |
|---|---|
| Provider Enumeration Date | 11/18/2013 |
| Last Update Date | 09/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912337684 | NPI | - | NPPES |
| 1912337684 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 2086X0206X | Surgery - Surgical Oncology | (* (Not Available)) | Primary |
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