Scottie Lamar Gibbs, CRNP
Nurse Practitioner, Primary Care in Gadsden, AL. Individual provider (NPI-1).
NPI number1982255279
StatusActive
Last updated in NPPESSep 27, 2019
Details
- NPI
- 1982255279
- Entity type
- Individual (NPI-1)
- Name
- Scottie Lamar Gibbs
- Credential
- CRNP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 27, 2019
- Last updated
- Sep 27, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP2300X | Nurse Practitioner, Primary Care | 1-69652 | AL | Yes |
Practice location
200 Medical Center DrGadsden, AL 35903-1150
Phone 256-494-4968 · Fax 256-494-4245
Mailing address
Po Box 1684Decatur, AL 35602-1684
Phone 256-494-4968 · Fax 256-494-4215
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