East Metro Family Medical Clinic

NPI #1750447926 in Richland, Mississippi

Provider Information

NPI Number: 1750447926
Entity Type: Organization
Organization Name: East Metro Family Medical Clinic
Primary Specialty: Medical Genetics, Ph.D. Medical Genetics
Enumeration Date: Dec 29, 2006
Last Updated: Dec 3, 2013

Practice Location

Address: 811 HIGHWAY 49 S
City: Richland
State: Mississippi
ZIP Code: 39218-9408
Phone: (601) 932-5060

Authorized Official

Name: DR. DON A. GIBSON, M.D.
Title: OWNER
Phone: (601) 932-5060

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Medical Genetics, Ph.D. Medical Genetics	170100000X	Primary

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