Individual
MARTY B. GEBHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
1421 N STATE ST, SUITE 203, JACKSON, MS 39202-1658
(601) 355-1234
(601) 326-3537
Mailing address
443 GREENWOOD LN, RIDGELAND, MS 39157-4043
(601) 605-1550
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R845505
MS
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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