Individual
MS. SHEKEITA GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RRT
Contact information
Practice address
808 TRADE WIND RD, MACON, GA 31206-3785
(478) 973-5055
Mailing address
808 TRADEWIND RD, MACON, GA 31206
(478) 973-5055
Taxonomy
Speciality
Code
Description
License number
State
2278H0200X
Home Health Certified Respiratory Therapist
Primary
006556
GA
Other
Enumeration date
12/24/2012
Last updated
12/24/2012
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