Individual
DR. STEPHANIE GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1118 ROSS CLARK CIR STE 600, DOTHAN, AL 36301-3042
(334) 793-3900
(334) 793-5227
Mailing address
1118 ROSS CLARK CIR, SUITE 600, DOTHAN, AL 36301-3001
(334) 793-3900
(334) 793-5227
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
30069
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117799
—
AL
01
—
511-07247
BCBS
AL
Enumeration date
08/28/2007
Last updated
02/22/2022
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