Individual
KIARA GIPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 W MONTGOMERY RD, TUSKEGEE INSTITUTE, AL 36088-1923
(678) 595-7010
Mailing address
PO BOX 284, FAIRBURN, GA 30213-0284
(678) 595-7010
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT002375
GA
Other
Enumeration date
04/20/2015
Last updated
04/20/2015
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