| Larry Gibson, M.d., P.c. | |
|
2051 Hamill Road #b Hixson TN 37343 | |
| (423) 877-1212 | |
| Not Available |
| Full Name | Larry Gibson, M.d., P.c. |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 2051 Hamill Road, Hixson, Tennessee |
| Authorized Official Name and Position | Larry Gibson (OWNER/PRESIDENT) |
| Authorized Official Contact | 4239549556 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Larry Gibson, M.d., P.c. 1709 Valley Forge Drive Hixson TN 37343 Ph: (423) 954-9556 | Larry Gibson, M.d., P.c. 2051 Hamill Road #b Hixson TN 37343 Ph: (423) 877-1212 |
| NPI Number | 1346333895 |
|---|---|
| Provider Enumeration Date | 10/02/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346333895 | NPI | - | NPPES |
| 3181502 | Medicaid | TN | |
| 3074845 | Other | TN | BLUECROSS/BLUESHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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