| South Gibson Family Care | |
|
589 Highway 45 Byp S Medina TN 38355-9633 | |
| (713) 462-0000 | |
| Not Available |
| Full Name | South Gibson Family Care |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 589 Highway 45 Byp S, Medina, Tennessee |
| Authorized Official Name and Position | David Jeff Wilbert (OWNER) |
| Authorized Official Contact | 7134620000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Gibson Family Care 589 Highway 45 Byp S Medina TN 38355-9633 Ph: (713) 462-0000 | South Gibson Family Care 589 Highway 45 Byp S Medina TN 38355-9633 Ph: (713) 462-0000 |
| NPI Number | 1598201196 |
|---|---|
| Provider Enumeration Date | 01/06/2017 |
| Last Update Date | 06/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598201196 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
First Choice Medical Care Of Medina, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 605 Hwy 45 East, Medina, TN 38355 Phone: 731-267-0239 | |
Medina Family Medical Clinic Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 209 Grace Cv, Medina, TN 38355 Phone: 731-783-0400 Fax: 731-783-0402 |