Individual
CEPHAS S GUMBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
110 PROFESSIONAL CT, JESUP, GA 31545-0044
(912) 427-0800
(912) 427-6029
Mailing address
PO BOX 1334, JESUP, GA 31598-1334
(912) 427-0800
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT006530
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
197213416A
—
GA
Enumeration date
01/19/2007
Last updated
03/29/2022
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