Individual
CORINNE DOLORES GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC
Contact information
Practice address
175 MILITARY LN, GATE CITY, VA 24251-2874
(276) 452-1144
(276) 452-1140
Mailing address
PO BOX 9054, GRAY, TN 37615-9054
(423) 467-3600
(423) 467-3644
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
0001178024
VA
Other
Enumeration date
11/05/2007
Last updated
11/05/2007
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