Individual
SUSAN D GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1909 HAMPSHIRE PIKE, COLUMBIA, TN 38401-5650
(931) 388-5757
(931) 560-1119
Mailing address
1909 HAMPSHIRE PIKE, COLUMBIA, TN 38401-5650
(931) 797-2169
(931) 560-1119
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
183068
TN
Other
Enumeration date
01/08/2015
Last updated
01/08/2015
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