Provider Demographics
NPI:1528257730
Name:GIBBS, JOHNNY M (MD)
Entity type:Individual
Prefix:DR
First Name:JOHNNY
Middle Name:M
Last Name:GIBBS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:5018 CAHABA RIVER RD
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA
Mailing Address - State:AL
Mailing Address - Zip Code:35243-2317
Mailing Address - Country:US
Mailing Address - Phone:205-397-5200
Mailing Address - Fax:205-203-9858
Practice Address - Street 1:5018 CAHABA RIVER RD
Practice Address - Street 2:
Practice Address - City:VESTAVIA
Practice Address - State:AL
Practice Address - Zip Code:35243-2317
Practice Address - Country:US
Practice Address - Phone:205-397-5200
Practice Address - Fax:205-203-9858
Is Sole Proprietor?:No
Enumeration Date:2007-10-24
Last Update Date:2023-12-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ALMD.46414207X00000X, 207XX0005X
TXBP10024844207X00000X
FLME109657207X00000X, 207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery