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Individual

RACHIEL ERIN GIBSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
580 VAN HILL RD, GREENEVILLE, TN 37745-7608
(423) 234-1020
(423) 234-0646
Mailing address
PO BOX 850, ROGERSVILLE, TN 37857-0850
(423) 234-1020
(423) 234-0646

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3420
TN

Other

Enumeration date
10/23/2017
Last updated
10/23/2017
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