Organization
GIBBS MOBILE MED, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GIBSON IYEKE ERHUNMWUNSE NP (CEO)
(240) 346-7488
Entity
Organization
Contact information
Practice address
4115 ANNANDALE RD STE 203, ANNANDALE, VA 22003-2500
(240) 346-7488
Mailing address
4115 ANNANDALE RD STE 203, ANNANDALE, VA 22003-2500
(240) 346-7488
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
06/29/2018
Last updated
06/29/2018
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