Individual
RICHARD L GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1924 ALCOA HWY, KNOXVILLE, TN 37920-1511
(865) 305-9340
(865) 305-9231
Mailing address
PO BOX 440027, NASHVILLE, TN 37244-0027
(865) 670-6199
(865) 670-6198
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
9860
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1513292
—
TN
Enumeration date
10/04/2006
Last updated
12/02/2016
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