# EAST METRO FAMILY MEDICAL CLINIC

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

## Provider details

- **NPI number:** 1750447926
- **Authorized official:** DR. DON A. GIBSON M.D. (OWNER)
- **Authorized official phone:** (601) 932-5060

## Contact information

- **Practice address:** 811 HIGHWAY 49 S, RICHLAND, MS 39218-9408
- **Practice address phone:** (601) 932-5060
- **Practice address fax:** (601) 932-5062
- **Mailing address:** 811 HIGHWAY 49 S, RICHLAND, MS 39218-9408
- **Mailing address phone:** (601) 932-5060
- **Mailing address fax:** (601) 932-5062

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 170100000X | Ph.D. Medical Genetics | 07980 | MS | Yes |

## Other

- **Enumeration date:** 12/29/2006
- **Last updated:** 12/03/2013