Individual
DAVID BENJAMIN GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2996 KATE BOND RD, SUITE 309, BARTLETT, TN 38133-4030
(901) 726-1056
(901) 726-5867
Mailing address
6029 WALNUT GROVE RD, SUITE 404, MEMPHIS, TN 38120-2112
(901) 726-1056
(901) 726-5867
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
40059
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3334090
—
TN
01
—
P00322634
RAILROAD MEDICARE
TN
Enumeration date
08/30/2006
Last updated
12/12/2007
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