Individual
JONATHON ANDREW GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1715 N BUNNER ST, FOLEY, AL 36535-2229
(205) 379-0174
(888) 219-8102
Mailing address
2409 ACTON RD STE 153, VESTAVIA, AL 35243-2939
(205) 379-0174
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
1-140866
AL
363LF0000X
Family Nurse Practitioner
Primary
1-140866
AL
Other
Enumeration date
07/23/2019
Last updated
07/14/2022
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