Organization
GIPSON SPECIALTY CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN L GIPSON M.D. (PRESIDENT)
(901) 767-9500
Entity
Organization
Contact information
Practice address
6005 PARK AVE, SUITE 400, MEMPHIS, TN 38119-5202
(901) 767-9500
(901) 767-7324
Mailing address
6005 PARK AVE, SUITE 400, MEMPHIS, TN 38119-5202
(901) 767-9500
(901) 767-7324
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125345900
U.S. DEPT. OF LABOR
—
01
—
4079656
BLUE CROSS OF TN
TN
01
—
4226549
AETNA
—
Enumeration date
05/29/2007
Last updated
01/12/2024
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