Individual provider · Type 1 NPI
Madena Jane Gibson, MD
General Practice Physician · Raymond, MS
NPI number
1013431519
Active
Practice location
1695 Moses Rd
Raymond, MS 39154-8766
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 07981 (MS) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
About NPI 1013431519
Madena Jane Gibson, MD's National Provider Identifier is 1013431519, issued on Jul 27, 2017. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Raymond, MS. The record was last updated on Jul 21, 2022.