Individual
DR. MICHAEL GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
5674 HIGHWAY 11 E, PINEY FLATS, TN 37686-4461
(423) 538-0516
(423) 538-9128
Mailing address
5674 HIGHWAY 11 E, PINEY FLATS, TN 37686-4461
(423) 538-0516
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
36648
TN
Other
Enumeration date
04/06/2020
Last updated
04/06/2020
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