Dr. Michelle J Gibson
M.D. | Pediatric Adolescent Medicine | Female
Dr. Michelle J Gibson, M.D. is a Jackson, Mississippi based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Dr. Michelle J Gibson is
5440 Watkins Dr, Suite B, Jackson, Mississippi - 39206-2034. She can be contacted on phone at
601-364-2726 and fax number 601-364-2731.
Dr. Michelle J Gibson is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Michelle J Gibson is
1659366854 which was assigned by NPPES on 13 Sep, 2005 and it was last updated on 12 Aug, 2011.
Dr. Michelle J Gibson license number is
15752 for Pediatrics Adolescent Medicine (2080A0000X) in Mississippi.
Dr. Michelle J Gibson specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Dr. Michelle J Gibson basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Dr. Michelle J Gibson |
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| Credential : | M.D. |
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| Gender : | Female |
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| Sole Proprietor : | Yes |
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Business Address:
Dr. Michelle J Gibson address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 5440 Watkins Dr, Suite B
Jackson, MS, 39206-2034
United States |
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| Phone Number : | 601-364-2726 |
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| Fax Number : | 601-364-2731 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1659366854 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 13 Sep, 2005 |
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| Last Updated On : | 12 Aug, 2011 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Michelle J Gibson are as mentioned. Primary taxonomy code for Dr. Michelle J Gibson, M.D. is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 15752 | MS |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Michelle J Gibson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 640947461 | Other | MS | TAX ID NUMBER |
| 00119640 | MEDICAID | MS | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 5440 Watkins Dr, Suite B
Jackson, MS, 39206-2034
United States |
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| Phone Number : | 601-364-2726 |
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| Fax Number : | 601-364-2731 |
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Business Location:
Patients can refer following map for directions to
Dr. Michelle J Gibson practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.