Individual
DR. LAURIE ANN GIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1301 SHILOH RD NW, SUITE 510, KENNESAW, GA 30144-7147
(770) 653-4822
Mailing address
409 WINDSOR WAY, CANTON, GA 30115-4402
(770) 653-4822
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR005796
GA
Other
Enumeration date
09/11/2013
Last updated
09/11/2013
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