Individual
GREGORY DAVID GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
29520 CANVASBACK DR, EASTON, MD 21601-7124
(410) 822-5007
(410) 822-5569
Mailing address
2336 GODDARD PARKWAY, SALISBURY, MD 21801
(410) 334-6961
(410) 334-6362
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
259147000
MAGELLAN GROUP
MD
01
—
517251
UHC MAMSI GROUP
—
05
—
609500300
—
MD
05
—
609500301
—
MD
05
—
609500303
—
MD
05
—
609550001
—
MD
05
—
609550002
—
MD
05
—
609550004
—
MD
01
—
LM49EA
CAREFIRST BCBS GROUP
MD
01
—
R968
CAREFIRST FEDERAL GROUP
—
Enumeration date
04/25/2007
Last updated
02/20/2015
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