Provider Demographics
NPI:1902299001
Name:GIBSON, MARGARET (CMF, CFM, CDME, COF)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:GIBSON
Suffix:
Gender:F
Credentials:CMF, CFM, CDME, COF
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2900 ARENDELL ST
Mailing Address - Street 2:SUITE 6
Mailing Address - City:MOREHEAD CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28557-3318
Mailing Address - Country:US
Mailing Address - Phone:252-622-4506
Mailing Address - Fax:252-622-4512
Practice Address - Street 1:2900 ARENDELL ST STE 6
Practice Address - Street 2:
Practice Address - City:MOREHEAD CITY
Practice Address - State:NC
Practice Address - Zip Code:28557-3393
Practice Address - Country:US
Practice Address - Phone:252-622-4506
Practice Address - Fax:252-622-4512
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 332BC3200X, 332BX2000X
NCC51971335E00000X, 224900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMastectomy Fitter
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCC51971OtherBOC CERTIFIED ORTHOTIC FITTER
NCC51971OtherBOC CERTIFIED DME SPECIALIST
NC03040OtherABC CERTIFIED FITTER OF MASTECTOMY
NCC51971OtherBOC MASTECTOMY FITTER