Most Relevant Information
Provider Data
| NPI Number: | 1003412750 |
| Provider Name: | DONNA GIBSON |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/08/2020 |
| Last Updated: | 12/08/2020 |
Provider Practice Location
231 MILL ROAD
FRANKLIN
WV
26807
Practice Location Phone/Fax
| Phone: | 3043582421 |
| Fax: | 3043582422 |
Provider Mailing Location
PO BOX 9
FRANKLIN
WV
268070009
Provider Mailing Phone/Fax
| Phone: | 3043582421 |
| Fax: |