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Individual

MR. ESTON GIBBONS NORWOOD III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1215 7TH ST SE, #260, DECATUR, AL 35601-3304
(256) 350-4885
(256) 350-4805
Mailing address
1215 7TH ST SE, #260, DECATUR, AL 35601-3304
(256) 350-4885
(256) 350-4805

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
10890
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000015705
AL
01
130013429
RAILROAD MEDICARE
AL
Enumeration date
08/09/2005
Last updated
08/14/2008
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