Individual
DR. KELLY MATTHEW GILBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1705 BOULEVARD SQ STE C, WAYCROSS, GA 31501-8032
(912) 283-3066
Mailing address
6328 SAGE BRUSH RD, BLACKSHEAR, GA 31516-4965
(912) 550-6147
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR008677
GA
Other
Enumeration date
07/13/2010
Last updated
12/15/2010
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