Whalio Doctors

NPI 1073544516

Alycia D Gibson, PAC

Practitioner Medical Physician Assistant Paris, TN

Practice location

Address
239 Tyson Ave, Paris, TN 38242-4544
Phone
(731) 644-8208
Fax
(731) 644-8551
Mailing address
4407 Highway 140 S, Mc Kenzie, TN 38201-5121

Registered specialties

Medical Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 0000001274 (TN)

Registry record

NPI
1073544516
Entity type
Individual
Sex (as registered)
Female
NPI issued
5 Jul 2006
Record last updated
25 Aug 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.