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Warren Douglas Gibson
Prosthetic/Orthotic Supplier in Conway, South Carolina
NPI 1528031101

Warren Douglas Gibson is a Prosthetic/Orthotic Supplier based in Conway, SC. Warren Douglas Gibson practices in Conway, SC. The NPI Number for Warren Douglas Gibson is 1528031101 and holds a License No. (South Carolina).

The current practice location address for Warren Douglas Gibson is 1629 Highway 544, Conway, SC and can be reached out via phone at 843-347-7281 and via fax at 843-347-9785.

Location: 1629 Highway 544, Conway, SC, 29526-8452
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528031101
Provider Name
Warren Douglas Gibson
Credential
Provider Entity Type
Individual
Gender
Male
Address
1629 Highway 544, Conway, SC, 29526-8452
Phone Number
843-347-7281
Fax Number
843-347-9785
Provider Enumeration Date
02/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DE2045 05 SC
institution
Provider Business Practice Location Address Details
Address
1629 Highway 544
City
Conway
State
South Carolina
Zip
29526-8452
Phone Number
843-347-7281
Fax Number
843-347-9785
person
Provider Business Mailing Address Details
Address
1629 Highway 544
City
Conway
State
South Carolina
Zip
29526-8452
Phone Number
843-347-7281
Fax Number
843-347-9785
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
()
Definition
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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