SearchGeorgia2471M1202X

Russell Gibson, MR

NPI 1538479043 · on the registry since 2010

Practice

Address
1504 Hardeman Ave
Suite B
Macon, GA 31201
Phone
(478) 745-3135
Clinicians at this address
9

Registry record

Primary taxonomy
2471M1202X
2471M1202X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-10-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia