| Gibbs Mobile Med, LLC | |
|
4115 Annandale Rd Ste 203 Annandale VA 22003-2500 | |
| (240) 346-7488 | |
| Not Available |
| Full Name | Gibbs Mobile Med, LLC |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 4115 Annandale Rd Ste 203, Annandale, Virginia |
| Authorized Official Name and Position | Gibson Iyeke Erhunmwunse (CEO) |
| Authorized Official Contact | 2403467488 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gibbs Mobile Med, LLC 4115 Annandale Rd Ste 203 Annandale VA 22003-2500 Ph: (240) 346-7488 | Gibbs Mobile Med, LLC 4115 Annandale Rd Ste 203 Annandale VA 22003-2500 Ph: (240) 346-7488 |
| NPI Number | 1932694015 |
|---|---|
| Provider Enumeration Date | 06/29/2018 |
| Last Update Date | 06/29/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932694015 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | () | Primary |
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