Gibson, Stephanie
Gibson, Stephanie is an individual health care provider with primary practice located at 1118 Ross Clark Cir Ste 600 , Dothan AL 36301-3042. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Gibson, Stephanie can be contacted via phone (334) 793-3900.Contact Information
Primary practice address
1118 Ross Clark Cir Ste 600
Dothan AL 36301-3042
Phone: (334) 793-3900
Fax: (334) 793-5227
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 30069 | Alabama |
Profile Details
NPI number | 1134313794 |
---|---|
LBN Legal business name | Gibson, Stephanie |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 28th, 2007 |
Last updated | Feb 22nd, 2022 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1134313794 | NPPES |
Alabama | Other | 511-07247 | BCBS |
Alabama | MEDICAID | 117799 | BCBS |
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