IndividualActive
Larry Gibson, D.C.
NPI 1093830549 · Orthopedic Chiropractor · Macon, GA
Provider details
- NPI number
- 1093830549
- Entity type
- Individual
- Primary specialty
- Orthopedic ChiropractorChiropractic Providers
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- Yes
- License
- CHIR001656 (GA)
Specialties & taxonomies
Chiropractic Providers
Practice location
3333 Northside Dr
Suite G
Macon, GA 31210-2588
Phone: (478) 477-4415
Fax: (478) 477-4419
Approximate (ZIP-level) locationGet directions
Mailing address
3333 Northside Dr
Macon, GA 31210-2588
Registry dates
- Enumerated
- 2007-03-20
- Last updated
- 2010-05-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.