Individual provider · Type 1 NPI

Angela Diane Gibson

Other Technician · Big Stone Gap, VA

NPI number 1689799686 Active

Practice location

100 Laurel Ridge, Polly Summit
Big Stone Gap, VA 24219

Fax (276) 523-0029

Mailing address

PO Box 9054
Gray, TN 37615-9054

Specialties and licenses

TaxonomyCodeLicense
Other Technician Primary 247200000XNone listed

Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

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About NPI 1689799686

Angela Diane Gibson's National Provider Identifier is 1689799686, issued on Mar 20, 2007. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in Big Stone Gap, VA. The record was last updated on Jul 8, 2007.