Search › Tennessee › 2080S0012X
Russell Gibson, MD
NPI 1568513075 · on the registry since 2007
Practice
- Address
- 107 Glidepath Way
Lebanon, TN 37090 - Phone
- (615) 449-5771
- Organisation at this address
- Cumberland Skin Surgery And Dermatology
Elite Sports Medicine And Orthopaedic Center, PlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 2080S0012X
2080S0012X
- Also registered as
- 2080S0012X
- Licence states on file
- MI, TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-08-01
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 Tennessee