Individual
MRS. MICHELLE BENDER GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2232 WILBORN AVE, SUITE D, HEMATOLOGY ONCOLOGY PRACTICE OF SOUTHSIDE VA, PC, SOUTH BOSTON, VA 24592-1662
(434) 575-1212
(434) 575-1130
Mailing address
2232 WILBORN AVE, SUITE D, HEMATOLOGY ONCOLOGY PRACTICE OF SOUTHSIDE VA, PC, SOUTH BOSTON, VA 24592-1662
(434) 575-1212
(434) 575-1130
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0017137534
VA
Other
Enumeration date
05/08/2006
Last updated
03/08/2010
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