Mary Jane Gibson M.D.

NPI 1164427290 - Internal Medicine - 207R00000X

NPI Details
NPI 1164427290
Gender Female
Enumeration Date 06/16/2005
Last Updated 12/31/2015
Entity Type Individual
Active Over 11 years ago
Practice Location
301 MED TECH PKWY
STE 240
JOHNSON CITY TN, 37604-2364, US
Phone (423) 794-5520
Fax (423) 282-0720
Business Location
301 MED TECH PKWY
STE 240
JOHNSON CITY TN, 37604-2364, US
Phone (423) 794-5520
Fax (423) 282-0720
Toxanomy
Taxonomy Code 207R00000X
License State Tennessee
License Number 19131
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According to our database, Dr. Mary Jane Gibson M.D. NPI is 1164427290, taxonomy code is 207R00000X and license number is 19131, license state is located at Tennessee. Mary Jane Gibson M.D. physically located at 301 Med Tech Pkwy, Johnson City TN, 37604-2364. NPI Number Mary Jane Gibson M.D. has the Individual type.

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1164427290 NPI number is provided on an as is basis without warranty of any kind. 1164427290 is maintained by the National Plan & Provider Enumeration System. The contents of Mary Jane Gibson M.D. are for informational purposes only.