Individual
DR. GREGORY GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5126 HOSPITAL DR NE, COVINGTON, GA 30014-2566
(770) 385-4292
Mailing address
PO BOX 102321, ATLANTA, GA 30368-2321
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
040388
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000666333E
—
GA
Enumeration date
06/27/2006
Last updated
07/30/2021
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