Gibson, Michael Anthony

Gibson, Michael Anthony is an sole proprietor health care provider with primary practice located at 3969 S Cobb Dr Se Suite 201, Smyrna GA 30080-6358. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Gibson, Michael Anthony can be contacted via phone (770) 438-2942.

Contact Information

Primary practice address
3969 S Cobb Dr Se Suite 201 Smyrna GA 30080-6358
Phone: (770) 438-2942
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 057975 Georgia
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 057975 Georgia

Profile Details

NPI number 1750589891
LBN Legal business name Gibson, Michael Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 10th, 2007
Last updated Mar 7th, 2023 - about 2 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750589891 NPPES
Georgia Other 057975 GA. LICENSE

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