Individual
CORY EVAN GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP, CRNA
Contact information
Practice address
3651 WHEELER RD, AUGUSTA, GA 30909-6426
(706) 651-3232
Mailing address
1655 BAKER PLACE LN, GROVETOWN, GA 30813-4025
(229) 402-1115
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN-CRNA292640
GA
Other
Enumeration date
10/01/2025
Last updated
10/01/2025
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