Individual
JOHN R GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 20TH AVE N, 9TH FLOOR, NASHVILLE, TN 37203-2131
(615) 284-1400
(615) 284-1349
Mailing address
300 20TH AVE N, 9TH FLOOR, NASHVILLE, TN 37203-2131
(615) 284-1400
(615) 284-1349
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
13867
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0050576
BLUE CROSS BLUE SHIELD
TN
01
—
110054563
RR MEDICARE
TN
05
—
3194593
—
TN
01
—
4082150
AETNA
TN
Enumeration date
06/19/2006
Last updated
10/17/2014
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