NPI 1013431519

Madena Jane Gibson, MD

Practitioner General Practice Physician Raymond, MS

Practice location

Address: 1695 Moses Rd, Raymond, MS 39154-8766
Phone: (601) 857-8638

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 07981 (MS)

Other General Practice providers in Mississippi →

Registry record

NPI: 1013431519
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Jul 2017
Record last updated: 21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.