Individual
MARY ELIZABETH GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
499 GLOSTER CREEK VLG STE G1, TUPELO, MS 38801-4751
(662) 377-2663
Mailing address
499 S GLOSTER ST # G1, TUPELO, MS 38801-5539
(662) 377-2663
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
28979
MS
207X00000X
Orthopaedic Surgery Physician
TRN21705
FL
207XS0106X
Orthopaedic Hand Surgery Physician
28979
MS
207XS0106X
Orthopaedic Hand Surgery Physician
U5702
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Enumeration date
06/02/2015
Last updated
09/15/2023
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