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Contact Information

ANITA L GIBSON
108 BANKSIDE DR
CANTON, MS39046-5039
 Phone: 314-456-9566
 Fax: 601-790-9759
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vehicle Modifications

171WV0202X
Indicates primary specialty

NPI Profile & details for ANITA L GIBSON · (Female)

NPI Number 1770210718
Status Active
Credentials
Entity Individual
Enumeration date 08/01/2022
Last updated 08/01/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
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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