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Individual

DR. WAYNE ST. M GIBSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
301 TYSON AVE, PARIS, TN 38242-4544
(731) 644-8226
(731) 847-1121
Mailing address
300 20TH AVE N STE 403, NASHVILLE, TN 37203-5180
(615) 284-7261
(615) 284-7501

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
01040911A
IN
207RC0000X
Cardiovascular Disease Physician
29083
KY
207RC0000X
Cardiovascular Disease Physician
Primary
60311
TN

Other

Enumeration date
05/13/2006
Last updated
11/08/2019
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