Individual
MRS. HEATHER NOEL GIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
105 COLLIER RD, SUITE 1010, ATLANTA, GA 30309-1730
(404) 355-4885
(404) 355-2210
Mailing address
105 COLLIER RD NW, SUITE 1010, ATLANTA, GA 30309-1710
(404) 355-4885
(404) 355-2210
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
002276
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
511I160152
MEDICARE ID
GA
Enumeration date
01/30/2008
Last updated
03/08/2010
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