Individual
DR. JOHN E GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8254 ATLEE RD, MECHANICSVILLE, VA 23116-1844
(804) 342-4335
(804) 342-4316
Mailing address
8254 ATLEE RD, MECHANICSVILLE, VA 23116-1844
(804) 342-4335
(804) 342-4316
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
0101243092
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710195342
—
VA
01
—
2196449
CIGNA
VA
01
—
352444
ANTHEM/HEALTHKEEPERS
VA
Enumeration date
05/18/2007
Last updated
07/31/2008
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