Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TANYA MARIE GIBSON, DDS
Active Sole ProprietorTANYA MARIE GIBSON, DDS is a Clinical Medical Laboratory healthcare provider located in ANTIOCH, Tennessee. NPI 1861796526 is currently active in the NPPES registry. Verify at CMS.
Clinical Medical Laboratory · ANTIOCH, TN
Registration Details
- NPI Number
- 1861796526
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 10, 2011 (15.627652398097 yrs)
- Last Updated
- Jan 10, 2011
- License
-
44D2016339 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2440 EDENCREST DRANTIOCH, TN, 370131919Browse TN providers · Browse ZIP 37013
- Phone
- 6154806800
- Primary Specialty
-
Clinical Medical Laboratory
291U00000X
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.