DR. Russell Gibson, MD

NPI #1821048638 in Maryville, Tennessee

Provider Information

NPI Number: 1821048638
Entity Type: Individual
Name: DR. Russell Gibson, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: May 11, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 129 MONTGOMERY LN
City: Maryville
State: Tennessee
ZIP Code: 37803-5649
Phone: (865) 681-1224

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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