Individual
MRS. ANNIE ELIZABETH GIBSON-BOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.,L.D.
Contact information
Practice address
5407 W SADDLE GATE PL, LITHONIA, GA 30038-3969
(770) 757-7416
Mailing address
5407 W SADDLE GATE PL, LITHONIA, GA 30038-3969
(770) 757-7416
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD000729
GA
Other
Enumeration date
07/16/2009
Last updated
07/16/2009
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