DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RANDEL GIBSON, DO

Active Sole Proprietor

Family Medicine · PONTOTOC, MS

Registration Details

NPI Number
1750336335
Provider Type
Individual
Gender
Male
NPI Issued
May 23, 2006 (19.913694462534 yrs)
Last Updated
Aug 7, 2018
Licenses
02027 (KY)
19706 (MS)
Sole Proprietor
Yes

Practice Information

Address
353 HIGHWAY 15 N
PONTOTOC, MS, 38863
Browse MS providers · Browse ZIP 38863
Phone
6624901985
Fax
6624901989
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine

Other Family Medicine Providers in PONTOTOC, MS

Name Credential NPI
TIMOTHY FRANK THOMPSON M.D. 1376518308
STEPHEN MONTGOMERY MD 1699735159
ANDREA J WARREN DO 1992758775
DR. DENISE HEFNER SOJOURNER MD 1770699670
MRS. FLAVIA H WEST MD 1538276191
JOHN C ADAMS MD 1013026970
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.