Individual
CASSANDRA F GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7744 CONNER ROAD, POWELL, TN 37849-3568
(865) 546-9751
Mailing address
1225 E WEISGARBER RD, SUITE 200, KNOXVILLE, TN 37909-2604
(865) 584-4747
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
41099
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3706634
—
TN
01
—
P00336505
RR MEDICARE PIN
TN
Enumeration date
05/23/2006
Last updated
10/10/2016
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