Organization
R. BARTHOLOMEW GIBBS MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD GIBBS M.D. (OWNER)
(901) 274-8668
Entity
Organization
Contact information
Practice address
1215 POPLAR AVE, MEMPHIS, TN 38104-7241
(901) 274-8668
Mailing address
PO BOX 41059, DBA CENTER FOR DERMATOLOGY, MEMPHIS, TN 38174-1059
(901) 274-8668
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
207NSOL35X
TN
Other
Enumeration date
11/05/2007
Last updated
11/05/2007
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