Individual
MRS. CHANTIA LEE GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
1909 HAMPSHIRE PIKE, COLUMBIA, TN 38401-5650
(931) 388-5757
Mailing address
1909 HAMPSHIRE PIKE, COLUMBIA, TN 38401-5650
(931) 388-5757
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN0000204771
TN
Other
Enumeration date
04/17/2008
Last updated
03/24/2016
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