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Individual

ANN ELIZABETH GIBSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2018 WESTERN AVE, KNOXVILLE, TN 37921-5718
(865) 544-0406
(865) 544-0480
Mailing address
6350 W ANDREW JOHNSON HWY, DEPARTMENT 100, TALBOTT, TN 37877-8605
(800) 355-3565
(423) 714-2355

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
4301057768
MI
207V00000X
Obstetrics & Gynecology Physician
Primary
MD49259
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
700H228210
BCBSM/BCN
MI
Enumeration date
07/20/2006
Last updated
09/28/2020
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