# SANDRA H. GIBBS, M.D.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891969291
- **Authorized official:** DR. SANDRA H. GIBBS M.D. (PROVIDES)
- **Authorized official phone:** (478) 934-9714

## Contact information

- **Practice address:** 145 E PEACOCK ST, SUITE \#3, COCHRAN, GA 31014-7846
- **Practice address phone:** (478) 934-9714
- **Practice address fax:** (478) 934-9716
- **Mailing address:** PO BOX 497, COCHRAN, GA 31014-0497
- **Mailing address phone:** (478) 934-9714
- **Mailing address fax:** (478) 934-9716

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 030192 | GA | Yes |

## Other

- **Enumeration date:** 04/16/2008
- **Last updated:** 05/08/2008