Shannon Brooke Gibson M.D.

NPI 1407046600 - Family Medicine - 207Q00000X

NPI Details
NPI 1407046600
Gender Female
Enumeration Date 07/25/2007
Last Updated 12/26/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
411 UNION ST
JONESBORO AR, 72401-2834, US
Phone (870) 838-4414
Fax
Business Location
411 UNION ST
JONESBORO AR, 72401-2834, US
Phone (870) 838-4414
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Arkansas
License Number E6086
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According to our database, Shannon Brooke Gibson M.D. NPI is 1407046600, taxonomy code is 207Q00000X and license number is E6086, license state is located at Arkansas. Shannon Brooke Gibson M.D. physically located at 411 Union St, Jonesboro AR, 72401-2834. NPI Number Shannon Brooke Gibson M.D. has the Individual type.

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1407046600 NPI number is provided on an as is basis without warranty of any kind. 1407046600 is maintained by the National Plan & Provider Enumeration System. The contents of Shannon Brooke Gibson M.D. are for informational purposes only.