Organization · Type 2 NPI

Warren D. Gibson

Prosthetic/Orthotic Supplier · Conway, SC

NPI number 1508057779 Active

Practice location

1629 Highway 544
Conway, SC 29526-8452

Fax (843) 347-9785

Specialties and licenses

TaxonomyCodeLicense
Prosthetic/Orthotic Supplier Primary 335E00000XNone listed

Prosthetic/Orthotic Supplier: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

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About NPI 1508057779

Warren D. Gibson's National Provider Identifier is 1508057779, issued on Aug 5, 2007. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Conway, SC. The record was last updated on Jun 30, 2008.