Individual
DR. MCKENNA RHEA GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
10871 COUNTY LINE RD STE A, MADISON, AL 35758
(256) 724-3530
Mailing address
10871 COUNTY LINE RD STE A, MADISON, AL 35758-3668
(256) 724-3530
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
6232
AL
1223G0001X
General Practice Dentistry
30262
TX
1223G0001X
General Practice Dentistry
Primary
6232
AL
Other
Enumeration date
07/02/2014
Last updated
02/07/2019
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