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Anita Gibson

NPI 1770210718 · on the registry since 2022

Practice

Address
108 Bankside Dr
Canton, MS 39046
Phone
(314) 456-9566
Fax
(601) 790-9759

Registry record

Primary taxonomy
171WV0202X
171WV0202X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Female
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 Mississippi