Gipson, Mary C

Gipson, Mary C is an individual health care provider with primary practice located at 118 Mars Hill Rd , Hoover AL 35244-3904. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Gipson, Mary C can be contacted via phone (205) 987-0005.

Contact Information

Primary practice address
118 Mars Hill Rd Hoover AL 35244-3904
Fax: (205) 987-0065
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 15324 Alabama

Profile Details

NPI number 1801904982
LBN Legal business name Gipson, Mary C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2006
Last updated Mar 18th, 2016 - about 8 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 1801904982 NPPES
Alabama Other 051082416 BCBS OF ALABAMA
Alabama Other 510-05037 BCBS OF ALABAMA
Alabama MEDICAID 000082416 BCBS OF ALABAMA
Alabama MEDICAID 009910908 BCBS OF ALABAMA

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