Individual
MARY C GIPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
118 MARS HILL RD, HOOVER, AL 35244-3904
(205) 987-0005
(205) 987-0065
Mailing address
118 MARS HILL RD, HOOVER, AL 35244-3904
(205) 502-5801
(205) 502-5586
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15324
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000082416
—
AL
05
—
009910908
—
AL
01
—
051082416
BCBS OF ALABAMA
AL
01
—
510-05037
BC BS OF ALABAMA
AL
Enumeration date
08/28/2006
Last updated
03/18/2016
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