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:
Health care specialties
| Specialty | Code | License # | 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 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 | 1750589891 | NPPES |
| Georgia | Other | 057975 | GA. LICENSE |
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