| Michelle J. Gibson, Md Pllc | |
|
5440 Watkins Dr Suite B Jackson MS 39206-2034 | |
| (601) 364-2726 | |
| (601) 364-2731 |
| Full Name | Michelle J. Gibson, Md Pllc |
|---|---|
| Speciality | Clinic/center |
| Location | 5440 Watkins Dr, Jackson, Mississippi |
| Authorized Official Name and Position | Michelle Jeanette Gibson (OWNER) |
| Authorized Official Contact | 6013642726 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle J. Gibson, Md Pllc 5440 Watkins Dr Suite B Jackson MS 39206-2034 Ph: (601) 364-2726 | Michelle J. Gibson, Md Pllc 5440 Watkins Dr Suite B Jackson MS 39206-2034 Ph: (601) 364-2726 |
| NPI Number | 1639352784 |
|---|---|
| Provider Enumeration Date | 12/12/2007 |
| Last Update Date | 12/12/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639352784 | NPI | - | NPPES |
| 00524231 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 15752 (Mississippi) | Primary |
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