Individual
DEBRA M. GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1770 N ALSTON ST, FOLEY, AL 36535-2274
(251) 943-3668
(251) 943-3314
Mailing address
1770 N ALSTON ST, FOLEY, AL 36535-2274
(251) 943-3668
(251) 943-3314
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
244
AL
213ES0103X
Foot & Ankle Surgery Podiatrist
244
AL
213ES0131X
Foot Surgery Podiatrist
244
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009964380
—
AL
01
—
1922679
FIRST HEALTH
—
01
—
2700024
UNITED
—
01
—
4269840001
DMERC
—
01
—
480032396
RAILROAD MEDICARE
—
01
—
51503119
BC/BS
AL
01
—
7561257
AETNA
—
Enumeration date
02/06/2006
Last updated
11/03/2008
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