Individual
JAMES GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
892 PRINCE AVE, SUITE C, ATHENS, GA 30606-2724
(706) 227-2027
(706) 227-2433
Mailing address
892 PRINCE AVE, ATHENS, GA 30606-2724
(706) 227-2027
(706) 227-2433
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN123486
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000925922E
—
GA
Enumeration date
01/20/2006
Last updated
02/12/2015
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