Individual
LARRY GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2051 HAMILL RD, STE 301 B, HIXSON, TN 37343-6614
(423) 877-1212
Mailing address
2051 HAMILL RD SUITE 302, HIXSON, TN 37343
(423) 877-1212
(423) 877-6793
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD19747
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3074845
BLUECROSS BLUESHIELD
TN
05
—
3181502
—
TN
Enumeration date
10/04/2006
Last updated
09/02/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us