IndividualActive
Anita Gibson
NPI 1770210718 · Vehicle Modifications Contractor · Canton, MS
Provider details
- NPI number
- 1770210718
- Entity type
- Individual
- Primary specialty
- Vehicle Modifications ContractorOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Practice location
108 Bankside Dr
Canton, MS 39046-5039
Phone: (314) 456-9566
Fax: (601) 790-9759
Mailing address
108 Bankside Dr
Canton, MS 39046-5039
Registry dates
- Enumerated
- 2022-08-01
- Last updated
- 2022-08-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.