Individual
WILLIAM DONALD GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1113 MURFREESBORO RD STE 319, FRANKLIN, TN 37064-1312
(615) 790-0567
(615) 814-2924
Mailing address
1113 MURFREESBORO RD, STE 319, FRANKLIN, TN 37064-1312
(615) 269-0652
(615) 269-0135
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
35020
TN
208D00000X
General Practice Physician
Primary
35020
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3861367
—
TN
05
—
3861369
—
TN
01
—
4007978
BCBS
TN
01
—
4013360
STONES RIVER IPA
TN
01
—
64041098
KY MEDICAID
KY
01
—
P00339020
RAILROAD MEDICARE
TN
Enumeration date
07/03/2006
Last updated
08/10/2020
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