Individual
DR. GARY LAMAR GIBSON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 22ND AVE, MEDICAL TOWERS III, MERIDIAN, MS 39301-3223
(601) 483-5322
(601) 581-2289
Mailing address
PO BOX 749215, ATLANTA, GA 30374-9215
(901) 226-3186
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17040
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00125790
—
MS
Enumeration date
12/26/2005
Last updated
10/25/2024
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