Individual
FRANK S GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1225 MADISON AVE, MEMPHIS, TN 38104-2211
(901) 722-3200
(901) 722-3347
Mailing address
1225 MADISON AVE, MEMPHIS, TN 38104-2211
(901) 722-3200
(901) 722-3347
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1465
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1465
OD
TN
05
—
3598917
—
TN
01
—
MG0241454
MEA
—
Enumeration date
08/26/2005
Last updated
07/16/2010
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