Individual
MS. PEGGY A GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
16 MEDICAL CENTER DRIVE, MONROEVILLE, AL 36460-3098
(251) 575-3266
(251) 575-3262
Mailing address
P.O. BOX 886, 2016 SOUTH ALABAMA AVENUE, MONROEVILLE, AL 36461-3098
(251) 575-3266
(251) 575-3262
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
LPSP.33-10533
AL
363LF0000X
Family Nurse Practitioner
1-087612
AL
Other
Enumeration date
07/18/2012
Last updated
12/05/2016
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