RUSSELL SCOTT GIBSON

MACON, GA
NPI1538479043
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2471M1202X Radiologic Technologist, Magnetic Resonance Imaging
(Licence: GA  364491)
Enumeration Date2010-10-18
Last Update Date2010-10-19
Business Address
-- RUSSELL SCOTT GIBSON MR
1504 HARDEMAN AVE SUITE B
MACON, GA 31201-1441
Phone number: 478-745-3135
Mailing Address
-- RUSSELL SCOTT GIBSON MR
117 DOVECOT DR
WARNER ROBINS, GA 31088-8541
Phone number: 478-442-4606