Individual
DR. SCOTT OAKLEY GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 N STATE ST, DEPT. OF MEDICINE, JACKSON, MS 39216-4500
(601) 984-5601
(601) 984-6665
Mailing address
2500 N STATE ST, DEPT. OF MEDICINE, JACKSON, MS 39216-4500
(601) 984-5601
(601) 984-6665
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
23277
MS
207R00000X
Internal Medicine Physician
T-2433
MS
Other
Enumeration date
07/05/2011
Last updated
08/11/2015
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