Organization
JILL GIBSON MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL GIBSON MD (OWNER)
(985) 898-5990
Entity
Organization
Contact information
Practice address
106 HIGHLAND PARK PLZ, COVINGTON, LA 70433-7116
(985) 898-5990
Mailing address
106 HIGHLAND PARK PLZ, COVINGTON, LA 70433-7116
(985) 898-5990
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD.205760
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1057576
—
LA
Enumeration date
09/16/2013
Last updated
07/24/2023
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