Gibson, William Cary

Gibson, William Cary is an individual health care provider with primary practice located at 9430 Park West Blvd Ste 310 , Knoxville TN 37923-4203. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Gibson, William Cary can be contacted via phone (865) 690-5263.

Contact Information

Primary practice address
9430 Park West Blvd Ste 310 Knoxville TN 37923-4203
Fax: (865) 588-3740
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 40805 Tennessee

Profile Details

NPI number 1053343178
LBN Legal business name Gibson, William Cary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Oct 10th, 2013 - about 12 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 1053343178 NPPES
Tennessee MEDICAID 3813508

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