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1720194087
SUSAN M GIBSON
FORT PAYNE, AL
NPI
1720194087
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: AL 21115)
Enumeration Date
2006-08-21
Last Update Date
2012-07-20
Business Address
Dr. SUSAN M GIBSON MD
3840 GAULT AVE N
FORT PAYNE, AL 35967-5211
Phone number: 256-844-4975
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Mailing Address
Dr. SUSAN M GIBSON MD
309 TAYLOR ST
SCOTTSBORO, AL 35768-2421
Phone number: 256-259-5313
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