Individual
MR. MICHAEL SCOTT GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
194 JONES RD, SNEEDVILLE, TN 37869-3639
(423) 733-8030
(423) 733-8030
Mailing address
194 JONES RD, SNEEDVILLE, TN 37869-3639
(423) 733-8030
(423) 733-8030
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
02/28/2008
Last updated
02/28/2008
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