Susan M Gibson in Fort Payne - Family Medicine
Susan M Gibson - NPI 1720194087
Susan M Gibson is a Family Medicine in Fort Payne, Alabama. Susan M Gibson practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Susan M Gibson is 1720194087. The last update date is 2012-07-20.
Susan M Gibson's current location address is 3840 Gault Ave N, Fort Payne, Alabama. You can contact this provider via phone number 2568444975 and fax number 2568444978. The mailing address for Susan M Gibson is 3840 Gault Ave N, Fort Payne, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan M Gibson |
|---|---|
| Address | 3840 Gault Ave N, Fort Payne, Alabama |
| Phone Number | 2568444975 |
| Fax Number | 2568444978 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1720194087 |
|---|---|
| Provider Enumeration Date | 2006-08-21 |
| Last Updated Date | 2012-07-20 |
Provider Mailing Address Detail
| Address | 3840 Gault Ave N |
|---|---|
| City | Fort Payne |
| State | Alabama (AL) |
| Post Code | 359675211 |
| Phone Number | 2568444975 |
| Fax Number | 2568444978 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 21115 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 51544790 | AL | BLUE CROSS BLUE SHIELD | |
| 51544794 | AL | BLUE CROSS BLUE SHIELD | |
| 630308067 | AL | -- | |
| 51544795 | AL | BLUE CROSS BLUE SHIELD | |
| 51544789 | AL | BLUE CROSS BLUE SHIELD | |
| 630309067 | AL | -- | |
| 51544791 | AL | BLUE CROSS BLUE SHIELD | |
| 630302067 | AL | -- | |
| 630303067 | AL | -- | |
| 51544792 | AL | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique provider identifier assigned to Susan M Gibson?
The Susan M Gibson has been issued the NPI (National Provider Identifier) 1720194087 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Susan M Gibson?
The Susan M Gibson is situated at 3840 Gault Ave N, in the city of Fort Payne, state of AL, with the zip code 359675211.
What is the area of specialization for Susan M Gibson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Susan M Gibson is Family Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1720194087 to Susan M Gibson?
The Centers for Medicare & Medicaid Services assigned the 1720194087 to Susan M Gibson on 2006-08-21.
When was the information pertaining to Susan M Gibson most recently updated or revised?
The details related to Susan M Gibson, including its address, specialty, and other relevant information, were last updated or revised on 2012-07-20.