NPI 1538479043

Russell Scott Gibson, MR

Practitioner Magnetic Resonance Imaging Radiologic Technologist Macon, GA

Practice location

Address: 1504 Hardeman Ave Suite B, Macon, GA 31201-1441
Phone: (478) 745-3135
Mailing address: 117 Dovecot Dr, Warner Robins, GA 31088-8541

Registered specialties

Magnetic Resonance Imaging Radiologic Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 2471M1202X Licence 364491 (GA)

Other Radiologic Technologist providers in Georgia →

Registry record

NPI: 1538479043
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Oct 2010
Record last updated: 19 Oct 2010

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.