Individual
MRS. ANDREA GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
793 SAWYER RD, MARIETTA, GA 30062-2222
(678) 247-3132
Mailing address
793 SAWYER RD, MARIETTA, GA 30062-2222
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN209246
GA
Other
Enumeration date
03/13/2023
Last updated
03/13/2023
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