South Gibson Medical Clinic Inc.
NPI #1659538841 in Fort Branch, Indiana
Provider Information
- NPI Number
- 1659538841
- Entity Type
- Organization
- Organization Name
- South Gibson Medical Clinic Inc.
- Primary Specialty
- Family Medicine
- Enumeration Date
- May 16, 2008
- Last Updated
- Jul 30, 2008
Practice Location
- Address
- 7861 S PROFESSIONAL DR
- City
- Fort Branch
- State
- Indiana
- ZIP Code
- 47648-8405
- Phone
- (812) 753-4181
Authorized Official
- Name
- DR. QUINTEN B EMERSON, M.D.
- Title
- PROVIDER/OWNER
- Phone
- (812) 753-4181
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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