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Contact Information

RUSSELL E GIBSON, MD
107 GLIDEPATH WAY
LEBANON, TN37090-4133
 Phone: 615-449-5771
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sleep Medicine

2080S0012X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for RUSSELL E GIBSON · (Male)

NPI Number 1568513075
Status Active
Credentials MD
Entity Individual
Enumeration date 01/13/2007
Last updated 08/01/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4301087799
  • TN License # 41991
Hospital affiliation(s)
  • UNIVERSITY MEDICAL CENTER - (Acute Care)
    1411 BADDOUR PARKWAY
    LEBANON, TN 37087
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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