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Individual

FRANK GIBASE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1 MEADOWS PKWY, VIDALIA, GA 30474-8759
(912) 538-5359
(912) 538-5228
Mailing address
PO BOX 1303, VIDALIA, GA 30475-1303
(912) 538-5359
(912) 538-5228

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
040075
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000656807B
GA
Enumeration date
08/23/2005
Last updated
08/27/2015
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