Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Susan Dennie Gibble, PA

Individual provider Medical Physician Assistant · NPI 1417025750

Susan Dennie Gibble, PA is a Medical Physician Assistant in Supply, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

16 Medical Center Dr
Supply, NC 28462-3350
Phone: (910) 754-8921
Fax: (910) 754-7140
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 100726 (NC)

Record details

NPI number1417025750
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 4, 2006
Last updated in NPPESJuly 8, 2007

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