Individual
JERICA LASHAY GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
33637 US HIGHWAY 280, CHILDERSBURG, AL 35044-3028
(256) 378-3313
Mailing address
33637 US HIGHWAY 280, CHILDERSBURG, AL 35044-3028
(256) 378-3313
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO.2737
AL
Other
Enumeration date
04/24/2020
Last updated
05/13/2024
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