Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LARRY ELISHA GIBSON, D.C.
Active Sole ProprietorOrthopedic (Chiropractor) · MACON, GA
Registration Details
- NPI Number
- 1093830549
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 20, 2007 (19.089707464707 yrs)
- Last Updated
- May 27, 2010
- License
-
CHIR001656 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3333 NORTHSIDE DRSUITE GMACON, GA, 312102588Browse GA providers · Browse ZIP 31210
- Phone
- 4784774415
- Fax
- 4784774419
- Primary Specialty
-
Orthopedic (Chiropractor)
111NX0800X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.