Individual
DR. VINCENT A GIBBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
310 HOSPITAL DR, SUITE305, MACON, GA 31217-3895
(478) 464-2600
(478) 741-3631
Mailing address
310 HOSPITAL DR, SUITE305, MACON, GA 31217-3895
(478) 464-2600
(478) 741-3631
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
039348
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000630748A
—
GA
Enumeration date
02/02/2006
Last updated
06/16/2010
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