Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. SHANNON B GIBBS JR., MS, ATC, LAT
Active Sole ProprietorMR. SHANNON B GIBBS JR., MS, ATC, LAT is a Athletic Trainer healthcare provider located in STARKVILLE, Mississippi. NPI 1770344574 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · STARKVILLE, MS
Registration Details
- NPI Number
- 1770344574
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 18, 2024 (2.391743866335 yrs)
- Last Updated
- Jan 18, 2024
- License
-
0939 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
815 OLD WEST POINT RDSTARKVILLE, MS, 397597712Browse MS providers · Browse ZIP 39759
- Phone
- 6016789793
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in STARKVILLE, MS
| Name | Credential | NPI |
|---|---|---|
| MR. PAUL KENNETH LEE | ATC | 1619996345 |
| MR. DAVID MICHAEL RUFFIN | ATC | 1225044241 |
| MR. GILBERT ORVILLE COCHRAN | ATC, LAT | 1700946076 |
| CODY ARANT | — | 1134575293 |
| RYAN LAMAR DOTSON | ATC | 1457854648 |
| TAYLOR PITTS | ATC | 1609551670 |
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.