Individual
MR. NORMAN MILLER GIBBY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
775 POPLAR RD STE 130, NEWNAN, GA 30265-8301
(770) 683-6921
Mailing address
775 POPLAR RD STE 130, NEWNAN, GA 30265-8301
(770) 683-6921
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
008020
GA
Other
Enumeration date
07/12/2016
Last updated
08/08/2016
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