# GIBSON FAMILY MEDICAL CENTER, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275872442
- **Authorized official:** DR. STEVEN EDGAR HALL (OWNER)
- **Authorized official phone:** (731) 855-3585

## Contact information

- **Practice address:** 700 HOSPITAL DR, TRENTON, TN 38382-3319
- **Practice address phone:** (731) 855-3585
- **Practice address fax:** (731) 855-9745
- **Mailing address:** 700 HOSPITAL DR, TRENTON, TN 38382-3319
- **Mailing address phone:** (731) 855-3585
- **Mailing address fax:** (731) 855-9745

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 28290 | TN | Yes |

## Other

- **Enumeration date:** 02/07/2013
- **Last updated:** 02/07/2013