Individual
CHARLES CURTIS GIPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
431 BERTUCCI BLVD, BILOXI, MS 39531-2255
(228) 385-2020
(228) 388-9435
Mailing address
431 BERTUCCI BLVD, BILOXI, MS 39531-2255
(228) 385-2020
(228) 388-9435
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
14481
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00880065
—
MS
Enumeration date
03/09/2006
Last updated
01/24/2012
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