Roger O. Gibson Md Pc

LBN: Roger O. Gibson Md Pc
Roger O. Gibson Md Pc is an health care organization with primary practice located at 1374 Cordova Cv Suite 102, Germantown TN 38138-2200. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Roger O. Gibson Md Pc can be contacted via phone (901) 751-0150, or through Gibson, Roger O. via phone (901) 751-0150.

Contact Information

Primary practice address
1374 Cordova Cv Suite 102 Germantown TN 38138-2200
Phone: (901) 751-0150
Fax: (901) 751-1419
Website:
Map and Directions
Authorized official contact:
Name: Gibson, Roger O. Doctor of Medicine (MD)
Phone: (901) 751-0150

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 10277 Tennessee

Profile Details

NPI number 1386836062
LBN Legal business name Roger O. Gibson Md Pc
DBA Doing business as
Authorized official Gibson, Roger O. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 15th, 2007
Last updated Aug 8th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386836062 NPPES
Mississippi Other 08560 STATE OF MISSISSIPPI BOARD OF LICENSE REGISTRATION

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