Gibson, Mary J
Gibson, Mary J is an individual health care provider with primary practice located at 301 Med Tech Pkwy Ste 240 , Johnson City TN 37604-2641. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Gibson, Mary J can be contacted via phone (423) 341-6436.Contact Information
Primary practice address
301 Med Tech Pkwy Ste 240
Johnson City TN 37604-2641
Phone: (423) 341-6436
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 19131 | Tennessee |
Profile Details
| NPI number | 1164427290 |
|---|---|
| LBN Legal business name | Gibson, Mary J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2005 |
| Last updated | Jan 3rd, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164427290 | NPPES |
| Tennessee | MEDICAID | 3054016 |
Popular Providers
-
Grosserode, Michael J
301 Med Tech Pkwy Ste 280, Johnson City TN 37604-2364 -
Brown, Paul E
301 Med Tech Pkwy Ste 240, Johnson City TN 37604-2364 -
Moulton, David F
301 Med Tech Pkwy Ste 240, Johnson City TN 37604 -
Sweet, Kevin D
301 Med Tech Pkwy Ste 240, Johnson City TN 37604-2364 -
Forbush, Frank A
301 Med Tech Pkwy Ste.280, Johnson City TN 37604-2364 -
Williams, Mark A
301 Med Tech Pkwy Ste 240, Johnson City TN 37604-2364 -
Hoover, Randy W
301 Med Tech Pkwy Ste 240, Johnson City TN 37604-2364 -
Cook, Keith R
301 Med Tech Pkwy Ste 240, Johnson City TN 37604-2364