Russell Gibson in Maryville - Family Medicine
Russell Gibson - NPI 1821048638
Russell Gibson is a Family Medicine in Maryville, Tennessee. Russell Gibson practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Russell Gibson is 1821048638. The last update date is 2007-07-08.
Russell Gibson's current location address is 129 Montgomery Ln, Maryville, Tennessee. You can contact this provider via phone number 8656811224 and fax number 8656815185. The mailing address for Russell Gibson is 129 Montgomery Ln, Maryville, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Russell Gibson |
|---|---|
| Address | 129 Montgomery Ln, Maryville, Tennessee |
| Phone Number | 8656811224 |
| Fax Number | 8656815185 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1821048638 |
|---|---|
| Provider Enumeration Date | 2006-05-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 129 Montgomery Ln |
|---|---|
| City | Maryville |
| State | Tennessee (TN) |
| Post Code | 378035649 |
| Phone Number | 8656811224 |
| Fax Number | 8656815185 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | MD18195 |
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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 |
|---|---|---|---|
| 119209 | TN | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Russell Gibson by the Centers for Medicare & Medicaid Services?
The Russell Gibson has been issued the NPI (National Provider Identifier) 1821048638, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Russell Gibson is physically located?
The Russell Gibson is situated at the following address: 129 Montgomery Ln, Maryville, TN 378035649.
What is the Russell Gibson's specialty and taxonomy code?
The Russell Gibson's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
When did Russell Gibson receive its 1821048638 assignment?
The Russell Gibson was assigned its 1821048638 on 2006-05-11, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Russell Gibson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Russell Gibson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.