Gibson, Russell Scott

Gibson, Russell Scott is an individual health care provider with primary practice located at 1504 Hardeman Ave Suite B, Macon GA 31201-1441. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Magnetic Resonance Imaging, which is considered as his primary health care specialty. Gibson, Russell Scott can be contacted via phone (478) 745-3135.

Contact Information

Primary practice address
1504 Hardeman Ave Suite B Macon GA 31201-1441
Phone: (478) 745-3135
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Magnetic Resonance Imaging 2471M1202X 364491 Georgia

Profile Details

NPI number 1538479043
LBN Legal business name Gibson, Russell Scott
Credentials MR
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2010
Last updated Oct 19th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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