institution
Michelle J. Gibson, Md Pllc
Clinic/Center in Jackson, Mississippi
NPI 1639352784

Michelle J. Gibson, Md Pllc is a Clinic/Center based in Jackson, MS. Michelle J. Gibson, Md Pllc practices in Jackson, MS. The NPI Number for Michelle J. Gibson, Md Pllc is 1639352784 and holds a License No. 15752 (Mississippi).

The current practice location address for Michelle J. Gibson, Md Pllc is 5440 Watkins Dr, Jackson, MS and can be reached out via phone at 601-364-2726 and via fax at 601-364-2731. You can also correspond with Michelle J. Gibson, Md Pllc through the mailing address at 5440 WATKINS DR, JACKSON, MS - 39206-2034 (mailing address contact number: 601-364-2726).

Location: 5440 Watkins Dr, Jackson, MS, 39206-2034
institution
Provider Profile Details
NPI Number
1639352784
Provider Name
Michelle J. Gibson, Md Pllc
Credential
Provider Entity Type
Organization
Address
5440 Watkins Dr, Jackson, MS, 39206-2034
Phone Number
601-364-2726
Fax Number
601-364-2731
Provider Enumeration Date
12/12/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00524231 05 MS
institution
Provider Business Practice Location Address Details
Address
5440 Watkins Dr
City
State
Zip
39206-2034
Phone Number
601-364-2726
Fax Number
601-364-2731
person
Provider Business Mailing Address Details
Address
5440 Watkins Dr
City
State
Zip
39206-2034
Phone Number
601-364-2726
Fax Number
601-364-2731
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
License No.
15752 (Mississippi)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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