# OAKWOOD PROFESSIONAL BILLING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Willie B Gibson MD PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457641011
- **Authorized official:** LEE ANN ODOM (PRESIDENT SHARED SERVICES)
- **Authorized official phone:** (947) 522-3326

## Contact information

- **Practice address:** 18300 W MCNICHOLS RD, DETROIT, MI 48219-4162
- **Practice address phone:** (313) 535-9366
- **Mailing address:** 26901 BEAUMONT BLVD, COMPLIANCE, SOUTHFIELD, MI 48033-3849
- **Mailing address phone:** (947) 522-1964

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/15/2011
- **Last updated:** 10/21/2021