Organization
EAST METRO FAMILY MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DON A. GIBSON M.D. (OWNER)
(601) 932-5060
Entity
Organization
Contact information
Practice address
811 HIGHWAY 49 S, RICHLAND, MS 39218-9408
(601) 932-5060
(601) 932-5062
Mailing address
811 HIGHWAY 49 S, RICHLAND, MS 39218-9408
(601) 932-5060
(601) 932-5062
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
Primary
07980
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04457077
—
MS
Enumeration date
12/29/2006
Last updated
12/03/2013
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