Roger O. Gibson MD PC
Internal Medicine in Cordova, TN. Organization (NPI-2).
NPI number1386836062
StatusActive
Last updated in NPPESNov 15, 2024
Details
- NPI
- 1386836062
- Entity type
- Organization (NPI-2)
- Legal business name
- Roger O. Gibson MD PC
- Organization subpart
- No
- Enumeration date
- Aug 15, 2007
- Certification date
- Nov 15, 2024
- Last updated
- Nov 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 10277 | TN | Yes |
Practice location
295 Germantown Bend CvCordova, TN 38018-7238
Phone 901-751-0150 · Fax 901-695-2007
Mailing address
295 Germantown Bend CvCordova, TN 38018-7238
Phone 901-751-0150 · Fax 901-695-2007
Authorized official
Roger O. Gibson
President
9017510150
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