Individual
SCOTTIE LAMAR GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
200 MEDICAL CENTER DR, GADSDEN, AL 35903-1150
(256) 494-4968
(256) 494-4245
Mailing address
PO BOX 1684, DECATUR, AL 35602-1684
(256) 494-4968
(256) 494-4215
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
1-69652
AL
Other
Enumeration date
09/27/2019
Last updated
09/27/2019
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