Individual
MRS. EMILY HENLEY GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
31 HILLSDALE CIR, SCOTT DEPOT, WV 25560-9754
(606) 207-3295
Mailing address
31 HILLSDALE CIR, SCOTT DEPOT, WV 25560-9754
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
01713
WV
Other
Enumeration date
03/14/2013
Last updated
05/04/2021
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